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Organization
GRIFFS COMPOUNDING CENTER INC
Active
Organization
GRIFFS COMPOUNDING CENTER INC
Active
Other names
GRIFFS COMPOUNDING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK GRIFFITH BACHELOR (OWNER)
(308) 635-9800
Entity
Organization
Contact information
Practice address
3210 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4314
(308) 635-9800
(308) 635-9899
Mailing address
3210 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4314
(308) 635-9800
(308) 635-9899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
3013
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055907
PK
—
Enumeration date
09/01/2006
Last updated
12/05/2016
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