Organization
THE COMPOUNDING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MOSS III PHARMACIST (OWNER)
(941) 795-4727
Entity
Organization
Contact information
Practice address
1802 59TH ST W, BRADENTON, FL 34209-4630
(941) 795-4727
Mailing address
1802 59TH ST W, BRADENTON, FL 34209-4630
(941) 795-4727
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH 17734
FL
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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