NPI | 1336490168 |
---|---|
Doing Business As | MEDWORX COMPOUNDING, LLC |
Entity Type | Organization |
Authorized Contact | LAURA CIALONE Pharmacist 601-859-5008 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TN 11588/2.2) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2012-09-19 |
Last Update Date | 2015-12-09 |