Theracomprx LLC
NPI #1598181000 in Ada, Oklahoma
Provider Information
- NPI Number
- 1598181000
- Entity Type
- Organization
- Organization Name
- Theracomprx LLC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Mar 7, 2014
- Last Updated
- Mar 7, 2014
Practice Location
Authorized Official
- Name
- MR. KENNETH WAYNE BAILES II, RPH, PHARMD
- Title
- PHARMACIST-IN-CHARGE/OWNER
- Phone
- (580) 759-6238
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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