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Organization
RESTORATIVE COMPOUNDING PHARMACY AND WELLNESS LLC
Active
Organization
RESTORATIVE COMPOUNDING PHARMACY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SHAMOON (PIC/CEO)
(248) 266-5276
Entity
Organization
Contact information
Practice address
4450 DIXIE HWY STE A, WATERFORD, MI 48329-3511
(248) 266-5276
Mailing address
4450 DIXIE HWY STE A, WATERFORD, MI 48329-3511
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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