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Organization

ULTRA LIFE RX COMPOUNDING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CORINA GUERRERO RPH (CEO)
(281) 846-8320
Entity
Organization

Contact information

Practice address
17130 TOWNES RD STE B, FRIENDSWOOD, TX 77546-4175
(832) 569-2023
(877) 580-5129
Mailing address
17130 TOWNES RD STE B, FRIENDSWOOD, TX 77546-4175
(832) 569-2023
(877) 580-5129

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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