| NPI | 1508919416 |
|---|---|
| Doing Business As | COMPOUNDING SHOPPE |
| Entity Type | Organization |
| Authorized Contact | CHRIS A GAGE President 515-432-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IA 1066) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |