| NPI | 1104869981 |
|---|---|
| Doing Business As | TWC COMPOUNDING SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | ANGIE HUFF PIC / Owner 225-677-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 114624) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH31188) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.020608) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29094) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH NRP.022798750-03) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006397-IR) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY LA2351) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHNR.FO.60798674) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 64002439A) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 2041-43) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 12670) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 6121) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0214002006) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: GA PHNR000397) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: IA 4881) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-07-19 |