Organization
SIGNATURE COMPOUNDING L L C
Active
Other names
PHARMACY MATTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STEIN BS PHARMACY (PRESIDENT)
(319) 337-8649
Entity
Organization
Contact information
Practice address
3526 DOLPHIN DR SE, IOWA CITY, IA 52240-8202
(319) 337-8649
(319) 337-8659
Mailing address
3526 DOLPHIN DR SE, IOWA CITY, IA 52240-8202
(319) 337-8649
(319) 337-8659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1278
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030337
PK
—
Enumeration date
05/08/2006
Last updated
12/21/2016
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