Organization
CREATIVE COMPOUNDING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL LYNN DUFRESNE (PRESIDENT)
(810) 724-3301
Entity
Organization
Contact information
Practice address
631 N VAN DYKE RD, IMLAY CITY, MI 48444-1181
(810) 724-3301
(810) 724-3303
Mailing address
631 N VAN DYKE RD, IMLAY CITY, MI 48444-1181
(810) 724-3301
(810) 724-3303
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
L222954
MI
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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