Organization
TRUE HEALTH MEDICAL CENTER S C
Active
Other names
PURE COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE FERGUSON PHARMD (PIC)
(630) 995-4300
Entity
Organization
Contact information
Practice address
603 E DIEHL RD, STE 131, NAPERVILLE, IL 60563-1452
(630) 995-4300
(630) 995-4301
Mailing address
603 E DIEHL RD, STE 131, NAPERVILLE, IL 60563-1452
(630) 995-4300
(630) 995-4301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
0540161636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116405
PK
—
Enumeration date
08/04/2008
Last updated
03/28/2017
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