| NPI | 1215143490 |
|---|---|
| Doing Business As | COMPOUND PHARMACEUTICAL TECHNOLOGIES, INC. |
| Entity Type | Organization |
| Authorized Contact | JOHN K. HART President 251-626-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 112942) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: AL 112942) |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AL 201542) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-05-09 |