Vintage Compounding Pharmacy LLC
NPI #1457030900 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1457030900
- Entity Type
- Organization
- Organization Name
- Vintage Compounding Pharmacy LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Jul 12, 2023
- Last Updated
- Jul 20, 2023
Practice Location
- Address
- 9821 MONTGOMERY BLVD NE STE A
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87111-3571
- Phone
- (505) 620-4352
Authorized Official
- Name
- DR. MOHAMMAD ZAMANIAN
- Title
- PHARM.D, RPH
- Phone
- (505) 620-4352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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