Organization
IMPACT COMPOUNDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN TRAME RPH (PHARMACIST)
(937) 761-2606
Entity
Organization
Contact information
Practice address
1920 DONN DAVIS WAY, TIPP CITY, OH 45371
(937) 761-2606
(937) 761-2607
Mailing address
1920 DONN DAVIS WAY, TIPP CITY, OH 45371-7313
(937) 761-2606
(937) 761-2607
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
06/01/2023
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