| NPI | 1174009732 |
|---|---|
| Doing Business As | DIRECT COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | ELLIE GERBER Manager 760-500-0271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |