Ivy Specialty Compounding, LLC

NPI #1710690474 in Lubbock, Texas

Provider Information

NPI Number
1710690474
Entity Type
Organization
Organization Name
Ivy Specialty Compounding, LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Dec 27, 2022
Last Updated
Dec 27, 2022

Practice Location

Address
2222 INDIANA AVE
State
Texas
ZIP Code
79410-2100
Phone
(806) 209-5140

Authorized Official

Name
BROOKE HOBGOOD, MD
Title
MANAGER
Phone
(806) 438-3544

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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