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Organization

PKN LLC

Active
Other names
Shelton Compounding Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP NELSON PHARMD (OWNER)
(828) 692-6554
Entity
Organization

Contact information

Practice address
2315 ASHEVILLE HWY STE 50, HENDERSONVILLE, NC 28791-1561
(828) 692-6554
(828) 692-3201
Mailing address
2315 ASHEVILLE HWY STE 50, HENDERSONVILLE, NC 28791-1561
(828) 692-6554
(828) 692-3201

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3472963
NCPDP #
Enumeration date
04/18/2007
Last updated
03/14/2024
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