| NPI | 1740890433 |
|---|---|
| Doing Business As | PURE COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | FORREST WESTLEY President 843-293-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |