NPI | 1174784292 |
---|---|
Doing Business As | CLEVELAND COMPOUNDING INC |
Entity Type | Organization |
Authorized Contact | GARY HARDEN Mang 704-487-1971 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 10058) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2008-06-20 |
Last Update Date | 2012-12-31 |