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Organization
US COMPOUNDING INC.
Active
Organization
US COMPOUNDING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE GLOVER P.D. (PRESIDENT, PHARMACIST-IN-CHARGE)
(501) 327-1222
Entity
Organization
Contact information
Practice address
2515 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 327-1222
(501) 327-2488
Mailing address
2515 COLLEGE AVE, CONWAY, AR 72034-6135
(501) 327-1222
(501) 327-2488
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
20503
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422179
NCPDP/NABP
AR
Enumeration date
08/11/2008
Last updated
08/11/2008
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