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Organization

MAGNUM COMPOUNDING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GHASSAN FADDOUL (OWNER)
(786) 622-2301
Entity
Organization

Contact information

Practice address
490 W 84TH ST, HIALEAH, FL 33014-3615
(786) 622-2301
(786) 622-2319
Mailing address
490 W 84TH ST, HIALEAH, FL 33014-3615
(786) 622-2301
(786) 622-2319

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Enumeration date
07/16/2021
Last updated
07/02/2025
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