Crescent United LLC
NPI #1841691771 in Manchester, Missouri
Provider Information
- NPI Number
- 1841691771
- Entity Type
- Organization
- Organization Name
- Crescent United LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 10, 2014
- Last Updated
- Sep 10, 2014
Practice Location
- Address
- 140 ENCHANTED PKWY
- Address 2
- SUITE 100
- City
- Manchester
- State
- Missouri
- ZIP Code
- 63021-5491
- Phone
- (636) 675-1123
Authorized Official
- Name
- DR. IHTESHAM GOHAR, PHARMD
- Title
- OWNER
- Phone
- (636) 675-1123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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