| NPI | 1588824940 |
|---|---|
| Doing Business As | THE COMPOUND SHOPPE |
| Entity Type | Organization |
| Authorized Contact | BRIAN PRATHER President 734-243-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MI 5301008860) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |