Premium Compounding INC
NPI #1013408772 in Decatur, Alabama
Provider Information
- NPI Number
- 1013408772
- Entity Type
- Organization
- Organization Name
- Premium Compounding INC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- May 29, 2018
- Last Updated
- May 29, 2018
Practice Location
Authorized Official
- Name
- MR. SAMUEL MARION COSTELLO, RPH
- Title
- PRESIDENT
- Phone
- (256) 566-8011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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