| NPI | 1750363610 |
|---|---|
| Doing Business As | COMPOUND RX |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM LICAMELE Chief Executive Officer 203-375-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1732) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-03-07 |