Medical Center Compounding Lab

NPI #1568600781 in Aiken, South Carolina

Provider Information

NPI Number: 1568600781
Entity Type: Organization
Organization Name: Medical Center Compounding Lab
Primary Specialty: Pharmacist
Enumeration Date: Jan 26, 2009
Last Updated: Jan 26, 2009

Practice Location

Address: 410 UNIVERSITY PKWY
Address 2: SUITE 2400
City: Aiken
State: South Carolina
ZIP Code: 29801-6810
Phone: (803) 649-1547

Authorized Official

Name: MR. THOMAS D HOLLEY SR., RPH
Title: PRESIDENT
Phone: (803) 649-1547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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