Intrathecal Compounding Specialists LLC

NPI #1952579484 in Scott, Louisiana

Provider Information

NPI Number
1952579484
Entity Type
Organization
Organization Name
Intrathecal Compounding Specialists LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Feb 19, 2008
Last Updated
Dec 9, 2013

Practice Location

Address
206 A JACOBS RUN
City
Scott
ZIP Code
70583
Phone
(337) 237-6077

Authorized Official

Name
STUART BURGESS, RPH
Title
DIR OF PHARMACY
Phone
(337) 237-6077

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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