Organization
OMNISCRIPT COMPOUNDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SIMMONS (TRANSITION TEAM OPERATIONS MANAGER)
(586) 201-0366
Entity
Organization
Contact information
Practice address
4045 E BELL RD STE 163, PHOENIX, AZ 85032-2240
(602) 971-6950
(602) 404-2504
Mailing address
4045 E BELL RD STE 163, PHOENIX, AZ 85032-2240
(602) 971-6950
(602) 404-2504
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/31/2022
Last updated
01/02/2025
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