Organization
CLASSIC COMPOUNDING PHARMACY, LLC
Active
Other names
Classic Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MARIE THERIAULT RPH (MEMBER/PHARMACIST IN CHARGE)
(207) 351-9010
Entity
Organization
Contact information
Practice address
1171 US ROUTE 1, YORK, ME 03909-5837
(207) 351-9010
(207) 351-9011
Mailing address
1171 US ROUTE 1, YORK, ME 03909-5837
(207) 351-9010
(207) 351-9011
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
01/18/2020
Last updated
01/18/2020
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