Organization
RAINSVILLE COMPOUNDING PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE PHILLIPS PHARMD (SUPERVISING PHARMACIST)
(256) 638-2255
Entity
Organization
Contact information
Practice address
515 MAIN STREET, RAINSVILLE, AL 35986
(256) 638-2255
Mailing address
PO BOX 1370, 515 MAIN STREET, RAINSVILLE, AL 35986-1370
(256) 638-2255
(256) 638-2257
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0131526
AL
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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