NPI | 1376802462 |
---|---|
Doing Business As | ROCK VALLEY COMPOUNDING PHARMACY LLC |
Entity Type | Organization |
Authorized Contact | JONATHAN M LEHAN Pharmacist In Charge 779-423-0542 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054018235) |
333600000X Pharmacy | |
Enumeration Date | 2012-05-09 |
Last Update Date | 2022-08-04 |