| NPI | 1902162548 |
|---|---|
| Doing Business As | SOUTHERN COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | ALMEDA BORDEN Supervising Pharmacist 256-340-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: AL 113687) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 25603) |
| 333600000X Pharmacy (Licence: TX 27640) | |
| 333600000X Pharmacy (Licence: MS 08975/7.1) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2015-02-24 |