Compounding Pharmacy LLC

NPI #1659058733 in Bristol, Tennessee

Provider Information

NPI Number
1659058733
Entity Type
Organization
Organization Name
Compounding Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jun 30, 2023
Last Updated
Jun 30, 2023

Practice Location

Address
310 BLUFF CITY HWY
ZIP Code
37620-4602
Phone
(423) 764-4136

Authorized Official

Name
WESLEY VERNON ARTHUR WATERS III, PHARM.D.
Title
OWNER
Phone
(406) 531-5888

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy

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