Organization
LAKE NORMAN COMPOUNDING PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY HURST AUL PHARM.D (PRESIDENT)
(980) 435-0756
Entity
Organization
Contact information
Practice address
1178 RIVER HWY STE B, MOORESVILLE, NC 28117-9222
(980) 435-0756
(980) 444-6324
Mailing address
1178 RIVER HWY STE B, MOORESVILLE, NC 28117-9222
(980) 435-0756
(980) 444-6324
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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