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Organization
CLASSIC COMPOUNDING PHARMACY, LLC
Active
Organization
CLASSIC COMPOUNDING PHARMACY, LLC
Active
Other names
Classic Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MARIE THERIAULT RPH (MEMBER/PHARMACIST IN CHARGE)
(207) 351-9010
Entity
Organization
Contact information
Practice address
1171 US ROUTE 1, YORK, ME 03909-5837
(207) 351-9010
(207) 351-9011
Mailing address
1171 US ROUTE 1, YORK, ME 03909-5837
(207) 351-9010
(207) 351-9011
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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