# TPS COMPOUNDING AND LONG TERM CARE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801410642
- **Authorized official:** HENRY KYLE RANGER (OWNER)
- **Authorized official phone:** (757) 206-1630

## Contact information

- **Practice address:** 4097 IRONBOUND RD STE B, WILLIAMSBURG, VA 23188-2676
- **Practice address phone:** (757) 206-1630
- **Practice address fax:** (757) 612-4434
- **Mailing address:** 5223 MONTICELLO AVE STE C, WILLIAMSBURG, VA 23188-8236
- **Mailing address phone:** (757) 603-1245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2020
- **Last updated:** 09/05/2023
