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Organization
J & L COMPOUNDING LLC
Active
Organization
J & L COMPOUNDING LLC
Active
Other names
J & L Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH STEPHEN HIBBITTS (OWNER)
(803) 648-7800
Entity
Organization
Contact information
Practice address
194 CREPE MYRTLE CT, AIKEN, SC 29803-7543
(803) 649-1175
(803) 649-1175
Mailing address
PO BOX 6295, AIKEN, SC 29804-6295
(803) 648-7800
(803) 648-7277
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
10741
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126865
PK
—
Enumeration date
09/24/2010
Last updated
04/23/2024
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