Organization
LIFESTYLE COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTON K COMPTON PHARMD (CEO)
(505) 609-5433
Entity
Organization
Contact information
Practice address
3840 COMMONS AVE NE STE A, ALBUQUERQUE, NM 87109-5831
(505) 609-5433
(505) 405-1497
Mailing address
3840 COMMONS AVE NE STE A, ALBUQUERQUE, NM 87109-5831
(505) 609-5433
(505) 405-1497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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