Innovative Compounding
NPI #1629370481 in Whitsett, North Carolina
Provider Information
- NPI Number
- 1629370481
- Entity Type
- Organization
- Organization Name
- Innovative Compounding
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 30, 2010
- Last Updated
- Nov 30, 2010
Practice Location
- Address
- 941 CENTER CREST DR
- Address 2
- SUITE D
- City
- Whitsett
- State
- North Carolina
- ZIP Code
- 27377
- Phone
- (336) 447-4803
Authorized Official
- Name
- SHARON WILSON
- Title
- PHARMACY MANAGER/PHARMACIST
- Phone
- (336) 447-4803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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