CCDE, LLC - NPI 1346892403 - Pharmacy in Pahrump, NV

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0004X and a focus in Compounding Pharmacy.

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About Ccde, Llc NPPES

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

CCDE, LLC (NPI 1346892403), doing business as Pahrump Wellness Pharmacy And Nutrition Center, is a healthcare organization registered as a compounding pharmacy in Pahrump, Nevada and active in the NPI registry since July 2019. The organization lists Justin Daine Curnutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1346892403

Entity TypeOrganization

Primary Taxonomy3336C0004X

Legal Business NameCCDE, LLC

Location Address2780 HOMESTEAD RDPahrump, NV 89048-5399

Mailing AddressPo Box 6380Pahrump, NV 89041-6380 · (702) 960-8640

Phone(702) 960-8640

Organization SubpartNo

Authorized OfficialJustin Daine CurnuttOwner · (702) 960-8640

Enumeration DateJuly 9, 2019

✔ NPI 1346892403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers

Taxonomy Code3336C0004X

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.

2780 HOMESTEAD RD, Pahrump, NV 89048

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