Organization
COMPOUNDING CORNER PHARMACY, INC.
Active
Other names
Compounding Corner Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MAGUADOG (PIC)
(281) 494-7777
Entity
Organization
Contact information
Practice address
1730 WILLIAMS TRACE BLVD STE K, SUGAR LAND, TX 77478-4055
(281) 494-7777
(281) 494-7770
Mailing address
1730 WILLIAMS TRACE BLVD STE K, SUGAR LAND, TX 77478-4055
(281) 494-7777
(281) 494-7770
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
23038
TX
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154374
PK
—
Enumeration date
10/02/2015
Last updated
10/02/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us