Cross Timbers Compounding LLC
Pharmacy in Weatherford, TX. Organization (NPI-2).
NPI number1023499985
StatusActive
Last updated in NPPESMar 30, 2020
Details
- NPI
- 1023499985
- Entity type
- Organization (NPI-2)
- Legal business name
- Cross Timbers Compounding LLC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2015
- Certification date
- Mar 30, 2020
- Last updated
- Mar 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 30028 | TX | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Custom Compounding Pharmacy LLC (Doing Business As)
Practice location
1880 Santa Fe Drive Suite 200Weatherford, TX 76086-6482
Phone 817-550-6044 · Fax 682-262-1365
Mailing address
1880 Santa Fe Drive Suite 200Weatherford, TX 76086-6482
Phone 817-550-6044 · Fax 682-262-1365
Authorized official
Charles Buchanan
Officer
8175506044
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