| Organization Name: | TAILOR MADE COMPOUNDING |
| NPI Number: | 1235591165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES WILLIAMS (PHARMACIST-IN-CHARGE) |
| Mailing Address: | 200 Moore Dr Nicholasville |
| State: | KY US |
| Postal Code: | 403568512 |
| Phone Number: | 8598870013 |
| Fax Number: | 8594061242 |
| NPI Enumeration Date: | 03/21/2016 |
| NPI Last Update Date: | 03/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | P07728 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |