Organization
COMPOUNDING PHARMACY OF AMERICA
Active
Other names
CPA, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT POTEET (COO)
(865) 963-4160
Entity
Organization
Contact information
Practice address
6216 HIGHLAND PLACE WAY STE 201, KNOXVILLE, TN 37919-4068
(865) 963-4160
(888) 689-9892
Mailing address
6216 HIGHLAND PLACE WAY, SUITE 201, KNOXVILLE, TN 37919-4070
(865) 963-4160
(888) 689-9892
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5463
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148644
PK
—
Enumeration date
11/06/2014
Last updated
11/18/2014
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