MEDICAL CENTER WEST COMPDING LAB
NPI 1063669315
Pharmacy - Compounding Pharmacy in Evans, GA

Active since August 19, 2008
465 N BELAIR RD, 1A2, EVANS, GA 30809(706) 855-5502(706) 854-2425 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medical Center West Compding Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL CENTER WEST COMPDING LAB (NPI 1063669315) is a healthcare organization registered as a compounding pharmacy in Evans, Georgia and active in the NPI registry since August 2008. The organization lists Kyle W Pulliam, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1063669315
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameMEDEQUIP HEALTH CORP
Location Address465 N BELAIR RD, 1A2Evans, GA 30809-3188
Mailing Address465 N Belair Rd, Ste 1a2Evans, GA 30809-3188 · (706) 855-5502 · Fax (706) 854-2425
Fax(706) 854-2425
Organization SubpartNo
Authorized OfficialKyle W PulliamPharmacist · (706) 855-5502
Enumeration DateAugust 19, 2008
NPI 1063669315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License Licensed in GA · PHRE009484
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
465 N BELAIR RD, Evans, GA 30809

Other Names 1

Doing Business AsMedical Center West Compding Lab

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
465 N BELAIR RD, SUITE 3-A
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, STE 2B
EVANS, GA 30809
Family Medicine
465 N BELAIR RD, SUITE 1C
EVANS, GA 30809
Durable Medical Equipment & Medical Supplies
465 N BELAIR RD, SUITE 1A
EVANS, GA 30809
Counselor (Professional)
465 N BELAIR RD, SUITE 2D
EVANS, GA 30809
Pharmacist
465 N BELAIR RD, SUITE 1A
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, SUITE 1B
EVANS, GA 30809
Nurse Practitioner (Family)
465 N BELAIR RD, SUITE 2B
EVANS, GA 30809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medequip Health Corp's NPI number?

The NPI number for Medequip Health Corp is 1063669315. It was assigned to this organization in the NPPES registry on August 19, 2008. The provider is doing business as Medical Center West Compding Lab.

Where is Medequip Health Corp located?

Medequip Health Corp is located at 465 N Belair Rd 1a2, Evans, GA 30809. The listed phone number is (706) 855-5502.

What is Medequip Health Corp's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

When was this NPI record last updated?

The NPPES record for Medequip Health Corp was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.