Organization
RXCOMPOUNDSTORE.COM LLC
Active
Other names
Rx Compound Store
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH YANKIVER (OWNER)
(844) 793-3879
Entity
Organization
Contact information
Practice address
111 SW 3RD ST STE 302, MIAMI, FL 33130
(844) 793-3879
Mailing address
111 SW 3RD ST STE 302, MIAMI, FL 33130-1926
(844) 793-3879
(844) 875-0009
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH30412
FL
Other
Enumeration date
11/03/2016
Last updated
07/05/2018
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