Organization
COMPOUNDING SHOP PHARMACY, INC
Active
Other names
COMPOUNDING SHOP PHARMACY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN YOO PHARM.D. (PRESIDENT)
(281) 495-2230
Entity
Organization
Contact information
Practice address
11851 WILCREST DR STE A, HOUSTON, TX 77031-1914
(281) 495-2230
(281) 495-2232
Mailing address
11851 WILCREST DR STE A, HOUSTON, TX 77031-1914
(281) 495-2230
(281) 495-2232
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29601
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149013
PK
—
Enumeration date
05/16/2007
Last updated
06/27/2016
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