| NPI | 1700071198 |
|---|---|
| Doing Business As | UNIVERISITY COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | ANDREW REEVES Co Owner 269-337-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MI 5301008641) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2010-06-22 |