Island Compounding Pharmacy LLC
NPI #1891169090 in Hilton Head Island, South Carolina
Provider Information
- NPI Number
- 1891169090
- Entity Type
- Organization
- Organization Name
- Island Compounding Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 25, 2015
- Last Updated
- Nov 25, 2015
Practice Location
- Address
- 55 MATHEWS DR STE 215
- State
- South Carolina
- ZIP Code
- 29926-3731
- Phone
- (843) 686-3040
Authorized Official
- Name
- DR. WILHEMINA SMITH FRY, PHARM.D.
- Title
- OWNER/SOLE MEMBER
- Phone
- (843) 686-3040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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