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Organization

NATIONAL COMPOUNDING COMPANY INC

Active
Other names
Soothe Compounding Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD LONG (PRESIDENT)
(941) 792-2688
Entity
Organization

Contact information

Practice address
1824 59TH ST W, BRADENTON, FL 34209-4630
(941) 792-2688
(941) 254-4937
Mailing address
1824 59TH ST W, BRADENTON, FL 34209-4630
(941) 792-2688
(941) 254-4937

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26591
FL
3336C0004X
Compounding Pharmacy
3336M0002X
Mail Order Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5712965
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/02/2013
Last updated
01/24/2013
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