| NPI | 1497097968 |
|---|---|
| Doing Business As | CYPRESS COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DAVIS Owner, R Ph 832-617-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006480) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 054.019556) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY NR-51082) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHNR.FO.60553550) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9257855-1708) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28476) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH29324) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: GA PHNR000802) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2018-07-19 |