Organization
P.E.B. INC
Active
Other names
The Compounding Shop
Organization subpart
No
Provider details
NPI number
Authorized official
BURT L. PATTERSON RPH (PRESIDENT / PHARMACIST)
(228) 875-0158
Entity
Organization
Contact information
Practice address
1121 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-0158
(228) 875-4546
Mailing address
1121 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-0158
(228) 875-4546
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
06/23/2008
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