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WYOMING PARK COMPOUNDING PHARMACY
NPI 1962527010
Pharmacy - Compounding Pharmacy in Wyoming, MI

Active since March 20, 2007
2301 LEE ST SW, WYOMING, MI 49519(616) 532-2362(616) 532-7378 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wyoming Park Compounding Pharmacy NPPES

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

WYOMING PARK COMPOUNDING PHARMACY (NPI 1962527010) is a healthcare organization registered as a compounding pharmacy in Wyoming, Michigan and active in the NPI registry since March 2007. The organization lists Paul Alan Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1962527010
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameWYOMING PARK PHARMACY
Location Address2301 LEE ST SWWyoming, MI 49519-1620
Mailing Address2301 Lee St SwWyoming, MI 49519-1620 · (616) 532-2362 · Fax (616) 532-7378
Phone(616) 532-2362
Fax(616) 532-7378
Organization SubpartNo
Authorized OfficialPaul Alan JensenOwner · (616) 532-2362
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962527010 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.
2301 LEE ST SW, Wyoming, MI 49519
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Other Names 1

Doing Business AsWyoming Park Compounding Pharmacy

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 Wyoming Park Pharmacy's NPI number?

The NPI number for Wyoming Park Pharmacy is 1962527010. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is doing business as Wyoming Park Compounding Pharmacy.

Where is Wyoming Park Pharmacy located?

Wyoming Park Pharmacy is located at 2301 Lee St SW, Wyoming, MI 49519. The listed phone number is (616) 532-2362.

What is Wyoming Park Pharmacy'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 Wyoming Park Pharmacy was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.