Organization
COMPOUNDRX LLC.
Active
Other names
Compound RX Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M HUGHEY (PIC)
(931) 400-0479
Entity
Organization
Contact information
Practice address
226 N OAK AVE, COOKEVILLE, TN 38501-2438
(931) 400-0479
(615) 758-4755
Mailing address
226 N OAK AVE, COOKEVILLE, TN 38501-2438
(931) 400-0479
(615) 758-4755
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003598
PHARMACY STATE LIC NO
TN
Enumeration date
02/06/2023
Last updated
05/20/2024
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