Organization
COMPOUNDING SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L JOHNSON RPH (PHARMACIST/OWNER)
(307) 333-2120
Entity
Organization
Contact information
Practice address
1540 CENTENNIAL CT UNIT 100, CASPER, WY 82609-7308
(307) 333-2120
(307) 333-2912
Mailing address
1540 CENTENNIAL CT UNIT 100, CASPER, WY 82609-7308
(307) 333-2120
(307) 333-2912
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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