NPI | 1922575315 |
---|---|
Doing Business As | THE COMPOUNDING LAB |
Entity Type | Organization |
Authorized Contact | JOSH HARRISON Vice President 423-328-9333 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |