| NPI | 1396225694 |
|---|---|
| Doing Business As | PROCOMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JASON K GUINN Chief Financial Officer 423-975-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NC 13796) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |