The Compounding Shoppe &Farmacy,llc
Pharmacy, Compounding Pharmacy in Wake Forest, NC. Organization (NPI-2).
NPI number1851636799
StatusActive
Last updated in NPPESDec 4, 2012
Details
- NPI
- 1851636799
- Entity type
- Organization (NPI-2)
- Legal business name
- The Compounding Shoppe &Farmacy,llc
- Organization subpart
- No
- Enumeration date
- Dec 4, 2012
- Last updated
- Dec 4, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0004X | Pharmacy, Compounding Pharmacy | 11396 | NC | Yes |
Practice location
2001 S Main StWake Forest, NC 27587-1649
Phone 919-569-0500 · Fax 919-556-4288
Mailing address
2001 S Main StWake Forest, NC 27587-1649
Phone 919-569-0500 · Fax 919-556-4288
Authorized official
David Nicholas Holt
Owner
9192152307
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