Whalio Doctors

NPI 1003003823

Pure Compounding

Organisation Compounding Pharmacy Myrtle Beach, SC

Practice location

Address
3072 Dick Pond Rd STE 2, Myrtle Beach, SC 29588-6954
Phone
(843) 293-7979
Fax
(843) 293-6499

Authorised official

Name
Melissa Lee
Title
Owner
Phone
(843) 651-7979

Registered specialties (2)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X Licence 9639 (SC)
Specialty Pharmacy
Suppliers Taxonomy 3336S0011X

Registry record

NPI
1003003823
Entity type
Organization
NPI issued
25 Sep 2007
Record last updated
19 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.