Organization
CROSS TIMBERS COMPOUNDING LLC
Active
Other names
Custom Compounding Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BUCHANAN (OFFICER)
(817) 550-6044
Entity
Organization
Contact information
Practice address
1880 SANTA FE DRIVE SUITE 200, WEATHERFORD, TX 76086-6482
(817) 550-6044
(682) 262-1365
Mailing address
1880 SANTA FE DRIVE SUITE 200, WEATHERFORD, TX 76086-6482
(817) 550-6044
(682) 262-1365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30028
TX
333600000X
Pharmacy
—
—
Other
Enumeration date
06/16/2015
Last updated
03/30/2020
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