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Organization
PRESCRIPTION SPECIALTIES, INC.
Active
Organization
PRESCRIPTION SPECIALTIES, INC.
Active
Other names
The Compounding Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD BRANDON FREEMAN (PHARM.D.)
(205) 870-3150
Entity
Organization
Contact information
Practice address
3349 INDEPENDENCE DR, SUITE 102, BIRMINGHAM, AL 35209-8310
(205) 870-3150
(855) 862-0446
Mailing address
3349 INDEPENDENCE DR, SUITE 102, BIRMINGHAM, AL 35209-8310
(205) 870-3150
(855) 862-0446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
110693
AL
3336C0004X
Compounding Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189716
—
AL
Enumeration date
02/09/2007
Last updated
01/25/2022
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