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Organization
TAILOR MADE COMPOUNDING
Active
Organization
TAILOR MADE COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAMS PHARMD (PHARMACIST-IN-CHARGE)
(859) 887-0013
Entity
Organization
Contact information
Practice address
200 MOORE DR, NICHOLASVILLE, KY 40356-8512
(859) 887-0013
(859) 406-1242
Mailing address
200 MOORE DR, NICHOLASVILLE, KY 40356-8512
(859) 887-0013
(859) 406-1242
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
P07728
KY
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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