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Organization
PHARMACY COMPOUNDING SPECIALTIES
Active
Organization
PHARMACY COMPOUNDING SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PORTER RPH (STORE MANAGER)
(214) 327-8200
Entity
Organization
Contact information
Practice address
8061 WALNUT HILL LN, SUITE 924, DALLAS, TX 75231-4331
(214) 327-8200
(214) 327-8777
Mailing address
8061 WALNUT HILL LN, SUITE 924, DALLAS, TX 75231-4331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
21510
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4522428
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/27/2007
Last updated
09/12/2007
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