Organization
MOORESVILLE COMPOUNDING SPECIALTIES PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN HOUCHINS PHARM.D, (PHARMACIST/OWNER)
(704) 799-3299
Entity
Organization
Contact information
Practice address
594 N MAIN ST BLDG B, MOORESVILLE, NC 28115-2328
(704) 799-3299
Mailing address
594 N MAIN ST BLDG B, MOORESVILLE, NC 28115-2328
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
08134
NC
Other
Enumeration date
03/25/2009
Last updated
07/09/2014
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