| NPI | 1912900226 |
|---|---|
| Doing Business As | PALM BEACH COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID UPSON PIC 561-741-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20850) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-06-21 |