Organization
TCS LABS LLC
Active
Parent organization
RESTORE HOLDINGS LLC
Other names
The Compounding Shop
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORE HOLDINGS LLC
Authorized official
MATT WANDERER (CEO)
(800) 558-7046
Entity
Organization
Contact information
Practice address
4000 PARK ST N, SAINT PETERSBURG, FL 33709-4034
(727) 381-9799
(727) 347-2050
Mailing address
1289 DEMING WAY, MADISON, WI 53717-2007
(800) 558-7046
(888) 898-7412
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27331
FL
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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