| NPI | 1679874689 |
|---|---|
| Doing Business As | PENRO SPECIALTY COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | NEAL EDWARD PEASE Pharmacist Manager/Owner 802-879-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: VT 038-0003296) |
| Enumeration Date | 2010-11-07 |
| Last Update Date | 2010-11-07 |