| NPI | 1356893507 |
|---|---|
| Doing Business As | RX COMPOUND STORE |
| Entity Type | Organization |
| Authorized Contact | RUTH YANKIVER Owner 844-793-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH30412) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2018-07-05 |