Organization
AUXILIUM SPECIALTY APOTHECARY PHARMACY INC
Active
Other names
Auxilium Specialty Apothecary Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON NESLER (PHARMACIST IN CHARGE)
(662) 404-0755
Entity
Organization
Contact information
Practice address
16 KEYSTONE DR STE B, HATTIESBURG, MS 39402-6121
(601) 255-0077
(888) 615-6578
Mailing address
16 KEYSTONE DR STE B, HATTIESBURG, MS 39402-6121
(601) 255-0077
(888) 615-6578
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
09085/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131932
PK
—
Enumeration date
08/24/2011
Last updated
12/09/2015
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