Healthcare Provider Details

I. General information

NPI: 1568627479
Provider Name (Legal Business Name): COMPOUNDING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7856 WESTSIDE PARK DR STE CB
MOBILE AL
36695-8541
US

IV. Provider business mailing address

7856 WESTSIDE PARK DR STE CB
MOBILE AL
36695-8541
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-8090
  • Fax: 251-633-8864
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number113132
License Number StateAL

VIII. Authorized Official

Name: ALAN BROWNING
Title or Position: PHARMACIST
Credential:
Phone: 251-633-8090