Organization
ACOLOGY PRESCRIPTION COMPOUNDING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES MICHAEL COPPEDGE PHARMD RPH (PRESIDENT PHARMACIST)
(239) 573-2424
Entity
Organization
Contact information
Practice address
131 DEL PRADO BLVD S, SUITE 101, CAPE CORAL, FL 33990-1723
(239) 573-2424
(239) 573-2426
Mailing address
131 DEL PRADO BLVD S, SUITE 101, CAPE CORAL, FL 33990-1723
(239) 573-2424
(239) 573-2426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH19550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001750
NABP
—
Enumeration date
03/20/2007
Last updated
04/16/2009
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