The Compounding Shoppe &farmacy,llc
NPI #1851636799 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1851636799
- Entity Type
- Organization
- Organization Name
- The Compounding Shoppe &farmacy,llc
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Dec 4, 2012
- Last Updated
- Dec 4, 2012
Practice Location
- Address
- 2001 S MAIN ST
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-1649
- Phone
- (919) 569-0500
Authorized Official
- Name
- DAVID NICHOLAS HOLT
- Title
- OWNER
- Phone
- (919) 215-2307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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