| 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 |