Medford Compounding & Specialty Pharmacy LLC

NPI #1669721239 in Medford, New York

Provider Information

NPI Number
1669721239
Entity Type
Organization
Organization Name
Medford Compounding & Specialty Pharmacy LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Aug 29, 2012
Last Updated
Apr 4, 2017

Practice Location

Address
2612 ROUTE 112
ZIP Code
11763-2522
Phone
(631) 693-1403

Authorized Official

Name
CRYSTAL KOLLER
Title
VPF
Phone
(631) 475-4141

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy

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