Organization
NATIONAL COMPOUNDING COMPANY INC
Active
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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