| NPI | 1831482306 |
|---|---|
| Doing Business As | STAN'S COMPOUNDING PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | JEFF WOLFENDEN Owner 423-775-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 0000000556) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2016-12-13 |