NPI | 1063202174 |
---|---|
Doing Business As | LFG COMPOUNDING |
Entity Type | Organization |
Authorized Contact | BRADLEY FRAILICKS COO 129-994-0008 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-05-12 |