| NPI | 1134957814 |
|---|---|
| Doing Business As | MR COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KAZI ISLAM Dr 972-754-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-10-29 |