Organization
AMERICAN CUSTOM COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT GUNDELFINGER (OWNER)
(214) 366-0022
Entity
Organization
Contact information
Practice address
2607 WALNUT HILL LN, SUITE 220, DALLAS, TX 75229-5638
(214) 366-0022
(214) 366-0298
Mailing address
2607 WALNUT HILL LN, SUITE 220, DALLAS, TX 75229-5638
(214) 366-0022
(214) 366-0298
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
27976
TX
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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