| NPI | 1003003823 |
|---|---|
| Doing Business As | PURE COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | MELISSA LEE Owner 843-651-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: SC 9639) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2016-04-19 |