| NPI | 1134975949 |
|---|---|
| Doing Business As | TAILOR MADE COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | ROSS JORDAN Chief Executive Officer 859-887-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |