| NPI | 1558498634 |
|---|---|
| Doing Business As | ABL CUSTOM COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | BLAIR LUNDBERG Owner 814-486-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: PA PP481743) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-11-04 |