NPI | 1699816892 |
---|---|
Doing Business As | THE COMPOUNDING SHOPPE |
Entity Type | Organization |
Authorized Contact | REGINALD BRANDON FREEMAN Pharm.D. 205-870-3150 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 110693) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
3336M0002X Pharmacy, Mail Order Pharmacy | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2022-01-25 |