| NPI | 1568508034 |
|---|---|
| Doing Business As | PROFESSIONAL COMPOUNDING SERVICES |
| Entity Type | Organization |
| Authorized Contact | GARY R KEEL Chief Manager 423-892-8635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TN 4142) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |