CUSTOM COMPOUNDING PHARMACY LLC
3816 Ringgold Rd
Chattanooga, TN 37412
423-629-0353
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | TN | 0000003295 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
OTHER ID NUMBER | 4432061 | OTHER | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 4432061 | OTHER |