| NPI | 1568802254 |
|---|---|
| Doing Business As | MIX COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | COURTNEY FORSTER Owner 888-229-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AZ Y005618) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |