Organization
MEDWORX COMPOUNDING LLC
Active
Other names
Medworx Compounding, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CIALONE (PHARMACIST)
(601) 859-5008
Entity
Organization
Contact information
Practice address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 859-5008
(601) 203-2941
Mailing address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 859-5008
(601) 203-2941
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
11588/2.2
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137016
PK
—
Enumeration date
09/19/2012
Last updated
12/09/2015
About Stedi
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