| NPI | 1194881466 |
|---|---|
| Doing Business As | THE COMPOUNDING CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARRELL GRANGER Owner Phcst 337-981-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.005007-IR) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-01-18 |