Organization
RX MEDICAL COMPOUNDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GERARD POWERS (OWNER)
(304) 255-6334
Entity
Organization
Contact information
Practice address
3159 ROBERT C BYRD DR, BECKLEY, WV 25801-3724
(304) 255-6334
(304) 255-9011
Mailing address
3159 ROBERT C BYRD DR, BECKLEY, WV 25801-3724
(304) 255-6334
(304) 255-9011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
SP0552432
WV
3336C0004X
Compounding Pharmacy
SP0552432
WV
3336M0002X
Mail Order Pharmacy
SP0552432
WV
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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