NPI 1306484092 · live from the CMS NPI Registry
Compounding Specialists LLC
Pharmacy, Compounding Pharmacy in Casper, WY. National Provider Identifier 1306484092, active.
NPI record
| NPI | 1306484092 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Compounding Pharmacy 3336C0004X |
| Practice location | 1540 Centennial Ct Unit 100, Casper, WY 82609 |
| Practice phone | 307-333-2120 |
| Enumerated | December 13, 2019 |
| Last updated | December 13, 2019 |
| Authorized official | Richard Johnson, Pharmacist/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — |
| Pharmacy, Compounding Pharmacy primary | 3336C0004X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.