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1316558521
COMPOUND PREFERRED LLC
IDAHO FALLS, ID
NPI
1316558521
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Entity Type
Organization
Authorized Contact
REECE CHRISTENSEN
President / CEO
208-497-3575
Organization Subpart ?
No
Primary Taxonomy
3336C0004X Pharmacy Compounding Pharmacy
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
COMPOUND PREFERRED LLC
1125 HOLLIPARK DR
IDAHO FALLS, ID 83401-5806
Phone number: 208-419-0613
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Mailing Address
COMPOUND PREFERRED LLC
1790 SABIN DR
AMMON, ID 83406-6747
Phone number: 208-497-3575
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