| NPI | 1952706558 |
|---|---|
| Doing Business As | SUPREME COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | SHYAMALA SURADA Pharmacist 571-230-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 29521) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |