Healthcare Provider Details

I. General information

NPI: 1417875949
Provider Name (Legal Business Name): CAMEL COMPOUNDING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 NW 33RD ST
MIAMI FL
33142-5735
US

IV. Provider business mailing address

7901 4TH ST N STE 28824
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 305-496-6681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. SAM KARL
Title or Position: BUSINESS OWNER
Credential:
Phone: 305-496-6681