Basic Information
| Provider Information | |||||||||
| NPI: | 1568627479 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | COMPOUNDING SOLUTIONS INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | COMPOUNDING SOLUTIONS INC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7856 WESTSIDE PARK DR | ||||||||
| Address2: | STE CB | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366958541 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7856 WESTSIDE PARK DR | ||||||||
| Address2: | STE CB | ||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366958541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516338090 | ||||||||
| FaxNumber: | 2516338864 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2008 | ||||||||
| LastUpdateDate: | 07/21/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | BROWNING | ||||||||
| AuthorizedOfficialFirstName: | ALAN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PHARMACIST | ||||||||
| AuthorizedOfficialTelephone: | 2516338090 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 3336C0004X | 113132 | AL | Y | Suppliers | Pharmacy | Compounding Pharmacy |
ID Information
| ID | Type | State | Issuer | Description | 0135497 | 01 | NCPDP PROVIDER IDENTIFICATION NUMBER | OTHER |