| 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 |