Organization
THE COMPOUNDING LAB
Active
Parent organization
CREEKWOOD HOLDINGS INC
Other names
THE COMPOUNDING LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREEKWOOD HOLDINGS INC
Authorized official
JOSH HARRISON PHARMD (VICE PRESIDENT)
(423) 328-9333
Entity
Organization
Contact information
Practice address
714 W MARKET ST STE 101, JOHNSON CITY, TN 37604-5483
(423) 328-9333
(423) 328-9334
Mailing address
714 W MARKET ST STE 101, JOHNSON CITY, TN 37604-5483
(423) 328-9333
(423) 328-9334
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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