Impact Compounding LLC

Compounding Pharmacy · Tipp City, OH

Organization Active NPI

NPI number 1902509821

Practice location

1920 Donn Davis Way
Tipp City, OH 45371
Phone
(937) 761-2606
Fax
(937) 761-2607

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NPI record

NPI
1902509821
Entity type
Organization (Type 2)
Enumeration date
March 22, 2023
Last updated
June 1, 2023
Certified
June 1, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Compounding Pharmacy Primary 3336C0004X — —

Mailing address

1920 Donn Davis Way
Tipp City, OH 45371-7313
Phone
(937) 761-2606
Fax
(937) 761-2607

Authorized official

Name
Dawn Trame, RPH
Title
Pharmacist
Phone
(937) 761-2606

About Impact Compounding LLC

Impact Compounding LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 1920 Donn Davis Way, Tipp City, OH 45371. The NPI number 1902509821 was assigned on March 22, 2023 and the record was last updated on June 1, 2023.

The authorized official for this organization is Dawn Trame, RPH, Pharmacist.

Frequently asked questions

What is the NPI number of Impact Compounding LLC?

The NPI number is 1902509821.

What is the phone number of Impact Compounding LLC?

The phone number listed for the practice location is (937) 761-2606.

Where is Impact Compounding LLC located?

1920 Donn Davis Way, Tipp City, OH 45371.

What is the taxonomy code for Impact Compounding LLC?

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.