Compounding Specialists of the Southwest, INC
NPI #1366761538 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1366761538
- Entity Type
- Organization
- Organization Name
- Compounding Specialists of the Southwest, INC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- May 26, 2010
- Last Updated
- May 26, 2010
Practice Location
- Address
- 2140 N MAIN ST
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-1129
- Phone
- (575) 524-2863
Authorized Official
- Name
- SCOTT WAYNE WALLIS, R.PH.
- Title
- PRESIDENT
- Phone
- (575) 524-2863
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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