Abl Custom Compounding

Compounding Pharmacy · Emporium, PA

Organization Active NPI

NPI number 1558498634

Practice location

34 E 4TH St
Emporium, PA 15834-1412
Phone
(814) 486-2326
Fax
(814) 486-1065

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NPI record

NPI
1558498634
Entity type
Organization (Type 2)
Enumeration date
February 27, 2007
Last updated
November 4, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Compounding Pharmacy Primary 3336C0004X PP481743 PA

Mailing address

PO Box 384
Emporium, PA 15834-0384
Phone
(814) 486-2326
Fax
(814) 486-1065

Authorized official

Name
Blair Lundberg, RPH
Title
Owner
Phone
(814) 486-2326

Other names

  • Abl Custom Compounding

About Abl Custom Compounding

Abl Custom Compounding is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 34 E 4TH St, Emporium, PA 15834-1412. The NPI number 1558498634 was assigned on February 27, 2007 and the record was last updated on November 4, 2014.

Abl Custom Compounding lists a license in the registry: #PP481743 (PA) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Blair Lundberg, RPH, Owner.

Frequently asked questions

What is the NPI number of Abl Custom Compounding?

The NPI number is 1558498634.

What is the phone number of Abl Custom Compounding?

The phone number listed for the practice location is (814) 486-2326.

Where is Abl Custom Compounding located?

34 E 4TH St, Emporium, PA 15834-1412.

What is the taxonomy code for Abl Custom Compounding?

The primary taxonomy code is 3336C0004X – Compounding Pharmacy.

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.