Island Compounding Pharmacy
NPI #1235537770 in Grosse Ile, Michigan
Provider Information
- NPI Number
- 1235537770
- Entity Type
- Organization
- Organization Name
- Island Compounding Pharmacy
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Dec 16, 2014
- Last Updated
- Dec 16, 2014
Practice Location
- Address
- 24201 MERIDIAN RD
- Address 2
- SUITE 1
- City
- Grosse Ile
- State
- Michigan
- ZIP Code
- 48138-2134
- Phone
- (734) 307-7671
Authorized Official
- Name
- LAURA LILE, M.D., R.PH.
- Title
- OWNER
- Phone
- (734) 307-7671
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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