Organization
GRIFFS COMPOUNDING CENTER INC
Active
Other names
GRIFFS COMPOUNDING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK GRIFFITH BACHELOR (OWNER)
(308) 635-9800
Entity
Organization
Contact information
Practice address
3210 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4314
(308) 635-9800
(308) 635-9899
Mailing address
3210 AVENUE B STE A, SCOTTSBLUFF, NE 69361-4314
(308) 635-9800
(308) 635-9899
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
3013
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055907
PK
—
Enumeration date
09/01/2006
Last updated
12/05/2016
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