| NPI | 1942830922 |
|---|---|
| Doing Business As | CLASSIC COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE THERIAULT Member/Pharmacist In Charge 207-351-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2020-01-18 |