Organization
PREMIUM COMPOUNDING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL MARION COSTELLO RPH (PRESIDENT)
(256) 566-8011
Entity
Organization
Contact information
Practice address
3220 HIGHWAY 31 S STE A2, DECATUR, AL 35603-1731
(256) 566-8011
Mailing address
3220 HIGHWAY 31 S STE A2, DECATUR, AL 35603-1731
(256) 566-8011
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
114813
AL
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us