Organization
CONCIERGE COMPOUNDING PHARMACEUTICALS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOOTAN MELAMED PHARM D (PIC)
(888) 367-3092
Entity
Organization
Contact information
Practice address
1887 WHITNEY MESA DR, HENDERSON, NV 89014-2069
(888) 367-3092
(702) 463-3111
Mailing address
1887 WHITNEY MESA DR, HENDERSON, NV 89014-2069
(888) 367-3092
(702) 463-3111
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH02853
NV
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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