Organization
CAMPBELLS COMPOUNDING PHARMACY INC
Active
Organization
CAMPBELLS COMPOUNDING PHARMACY INC
Active
Other names
CAMPBELLS COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE CAMPBELL PHARM.D. (OWNER)
(713) 668-4833
Entity
Organization
Contact information
Practice address
4760 SWEETWATER BLVD, STE 103, SUGAR LAND, TX 77479-3172
(281) 980-2555
(281) 980-2560
Mailing address
4760 SWEETWATER BLVD, STE 103, SUGAR LAND, TX 77479-3172
(281) 980-2555
(281) 980-2560
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
25679
TX
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4545882
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/28/2007
Last updated
09/24/2021
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