| NPI | 1194339341 |
|---|---|
| Doing Business As | FORMULATION COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | TABRAIZ M KHAN Manager 908-797-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2023-10-06 |