| NPI | 1093027393 |
|---|---|
| Former Legal Business Name | CLINICAL COMPOUND PHARMACY |
| Other Name | STONEY'S PHARMACY PLC |
| Doing Business As | CLINICAL COMPOUND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHAD LAPORTE STONEBURNER Owner/President 239-331-3441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PH24645) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2023-07-20 |