Organization
THE LIME IN THE COCONUT SPECIALTY COMPOUNDING PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON GAIL HAGAN RPH (PHARMACIST IN CHARGE)
(573) 964-6786
Entity
Organization
Contact information
Practice address
121 CROSSINGS WEST, # F, LAKE OZARK, MO 65049
(573) 964-6786
(573) 964-5270
Mailing address
121 CROSSINGS WEST, # 6, LAKE OZARK, MO 65049
(573) 964-6786
(573) 964-5270
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
2007005060
MO
3336C0004X
Compounding Pharmacy
Primary
2007005060
MO
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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