| NPI | 1952579484 |
|---|---|
| Doing Business As | INTRATHECAL COMPOUNDING SPECIALISTS LLC |
| Entity Type | Organization |
| Authorized Contact | STUART BURGESS Dir Of Pharmacy 337-237-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: LA 5856) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-12-09 |