| NPI | 1053331850 |
|---|---|
| Doing Business As | CARROLLWOOD COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES GAETANO Owner 404-815-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH9519) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-01-03 |