Organization Name: | COMPOUNDING CORNER INC. |
NPI Number: | 1295816387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE BELTHAZAR MULLER (DIRECTOR/PHARMACIST IN CHARGE) |
Mailing Address: | 61000 Seventeenth St. Lacombe |
State: | LA US |
Postal Code: | 704450217 |
Phone Number: | 9858826333 |
Fax Number: | 9858825307 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | 4548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |