| NPI | 1538568803 |
|---|---|
| Doing Business As | MED LAB COMPOUNDING, LLC |
| Entity Type | Organization |
| Authorized Contact | NEREYDA ROJAS Technician 786-534-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH28330) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-11-20 |