NPI | 1497939110 |
---|---|
Doing Business As | EQUINOX COMPOUNDING PHARMACY |
Entity Type | Organization |
Authorized Contact | PHILIP O NEILL President 802-442-5602 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: VT 0380003389) |
Enumeration Date | 2007-12-18 |
Last Update Date | 2014-11-21 |