Organization
COMPOUNDING SPECALTIES OF CONOVER
Active
Other names
COMPOUNDING SPECALTIES OF CONOVER
Organization subpart
No
Provider details
NPI number
Authorized official
RON HARWELL (RPH/OWNER)
(828) 464-4491
Entity
Organization
Contact information
Practice address
317 1ST ST E, CONOVER, NC 28613-1715
(828) 464-4491
(828) 464-4495
Mailing address
PO BOX 458, CONOVER, NC 28613-0458
(828) 464-4491
(828) 464-4495
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
07704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068812
PK
—
Enumeration date
08/27/2014
Last updated
08/27/2014
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