| NPI | 1245625821 |
|---|---|
| Doing Business As | STERILE COMPOUNDING PHARMACY LLC. |
| Entity Type | Organization |
| Authorized Contact | TYLER GUSTMAN Pharmacist 855-251-3874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH27507) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |