Organization
P & P COMPOUNDING SHOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY MCCORMICK (OWNER)
(615) 824-1216
Entity
Organization
Contact information
Practice address
107 IMPERIAL BLVD, SUITE 9, HENDERSONVILLE, TN 37075-3479
(615) 824-1216
Mailing address
107 IMPERIAL BLVD, SUITE 9, HENDERSONVILLE, TN 37075-3479
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
3782
TN
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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