Rock Valley Compounding Pharmacy LLC
Compounding Pharmacy · Rockford, IL
Practice location
811 S Perryville Rd Unit 109Rockford, IL 61108-4323
- Phone
- (779) 423-0542
- Fax
- (779) 545-2277
NPI record
- NPI
- 1376802462
- Entity type
- Organization (Type 2)
- Enumeration date
- May 9, 2012
- Last updated
- August 4, 2022
- Certified
- August 4, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
— | — |
| Pharmacy | 333600000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
054018235 | IL |
Authorized official
- Name
- Jonathan M Lehan, PHARMD
- Title
- Pharmacist in Charge
- Phone
- (779) 423-0542
Other names
- Rock Valley Compounding Pharmacy LLC
- Rock Valley Compounding Pharmacy LLC
About Rock Valley Compounding Pharmacy LLC
Rock Valley Compounding Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 811 S Perryville Rd Unit 109, Rockford, IL 61108-4323. The NPI number 1376802462 was assigned on May 9, 2012 and the record was last updated on August 4, 2022.
Rock Valley Compounding Pharmacy LLC lists a license in the registry: #054018235 (IL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Jonathan M Lehan, PHARMD, Pharmacist in Charge.
Frequently asked questions
What is the NPI number of Rock Valley Compounding Pharmacy LLC?
The NPI number is 1376802462.
What is the phone number of Rock Valley Compounding Pharmacy LLC?
The phone number listed for the practice location is (779) 423-0542.
Where is Rock Valley Compounding Pharmacy LLC located?
811 S Perryville Rd Unit 109, Rockford, IL 61108-4323.
What is the taxonomy code for Rock Valley Compounding Pharmacy LLC?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Compounding Pharmacy providers in Rockford
- Rock Valley Compounding Pharmacy, LLC811 S Perryville Rd Unit 109