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Organization

CAROLINA COMPOUND, LLC

Active
Other names
Carolina Compound & Nutritional Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JAYANT JOBANPUTRA (OWNER)
(704) 540-4330
Entity
Organization

Contact information

Practice address
7825 BALLANTYNE COMMONS PKWY STE 230, CHARLOTTE, NC 28277-3175
(704) 540-4330
(704) 540-4660
Mailing address
7825 BALLANTYNE COMMONS PKWY STE 230, CHARLOTTE, NC 28277-3175
(704) 540-4330
(704) 540-4660

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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