| NPI | 1366416448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SANGREE Pres 321-872-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy (Licence: ID 16452MS) |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: MI 5301008923) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH27532) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: KY FL1446) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: DC NRX1701137) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: DE A9-0001042) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: IA 3942) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: MD P03052) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: IN 64000903A) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: KS 22-02899) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: GA PHNR 000556) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: LA 006292) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: IL 054.016601) | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: HI PMP-1330) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2017-04-20 |