Custom Compounding Pharmacy LLC
NPI #1417095407 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1417095407
- Entity Type
- Organization
- Organization Name
- Custom Compounding Pharmacy LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 20, 2007
Practice Location
- Address
- 3816 RINGGOLD RD
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37412-1640
- Phone
- (423) 629-0353
Authorized Official
- Name
- JOE MUSICK, RPH
- Title
- PHARMACIST
- Phone
- (423) 629-0353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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