| Organization Name: | SPECIAL FORMULA PRESCRIPTIONS INC |
| NPI Number: | 1568527711 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID BENEFIELD (PRESIDENT) |
| Mailing Address: | 3918 Montclair Rd Ste 203 Mountain Brk |
| State: | AL US |
| Postal Code: | 352132425 |
| Phone Number: | 2058717445 |
| Fax Number: | 2058717446 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 11/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | 111716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |