| NPI | 1497110308 |
|---|---|
| Former Legal Business Name | WPC COMPOUNDING MANAGEMENT LLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PATRICK CROUCH Sole Member 737-202-7102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2016-07-13 |