| NPI | 1720743503 |
|---|---|
| Doing Business As | PROCOMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JESSICA PATRONE Pharmacist/Owner 423-975-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2022-02-25 |