Professional Compounding of Roswell INC
NPI #1689714552 in Roswell, New Mexico
Provider Information
- NPI Number
- 1689714552
- Entity Type
- Organization
- Organization Name
- Professional Compounding of Roswell INC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Aug 31, 2015
Practice Location
- Address
- 700 N UNION AVE
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88201-3956
- Phone
- (575) 622-6578
Authorized Official
- Name
- CHARLES SHANNON, RPH
- Title
- PRESIDENT
- Phone
- (575) 622-6578
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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