Classic Compounding Pharmacy, LLC

NPI #1942830922 in York, Maine

Provider Information

NPI Number
1942830922
Entity Type
Organization
Organization Name
Classic Compounding Pharmacy, LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Jan 18, 2020
Last Updated
Jan 18, 2020

Practice Location

Address
1171 US ROUTE 1
City
York
State
Maine
ZIP Code
03909-5837
Phone
(207) 351-9010

Authorized Official

Name
CYNTHIA MARIE THERIAULT, RPH
Title
MEMBER/PHARMACIST IN CHARGE
Phone
(207) 351-9010

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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