Organization
DIRECT COMPOUNDING AND OUTSOURCING
Active
Other names
Direct Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE GERBER (MANAGER)
(760) 500-0271
Entity
Organization
Contact information
Practice address
1850 WHITNEY MESA DR STE 180, HENDERSON, NV 89014-2093
(702) 877-0703
Mailing address
1850 WHITNEY MESA DR STE 180, HENDERSON, NV 89014-2093
(702) 877-0703
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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