| Organization Name: | EQUINOX COMPOUNDING PHARMACY |
| NPI Number: | 1497939110 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILIP O NEILL (PRESIDENT) |
| Mailing Address: | 34b Ways Ln Manchester Center |
| State: | VT US |
| Postal Code: | 052559231 |
| Phone Number: | 8023671096 |
| Fax Number: | 8023671098 |
| NPI Enumeration Date: | 12/18/2007 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | 0380003389 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |