Organization
TPS COMPOUNDING AND LONG TERM CARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY KYLE RANGER (OWNER)
(757) 206-1630
Entity
Organization
Contact information
Practice address
4097 IRONBOUND RD STE B, WILLIAMSBURG, VA 23188-2676
(757) 206-1630
(757) 612-4434
Mailing address
5223 MONTICELLO AVE STE C, WILLIAMSBURG, VA 23188-8236
(757) 603-1245
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/06/2020
Last updated
09/05/2023
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