NPI 1013408772

Premium Compounding INC

Organisation Compounding Pharmacy Decatur, AL

Practice location

Address: 3220 Highway 31 S STE A2, Decatur, AL 35603-1731
Phone: (256) 566-8011

Authorised official

Name: Samuel Marion Costello
Title: President
Phone: (256) 566-8011

Registered specialties

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X Licence 114813 (AL)

Other Pharmacy providers in Alabama →

Registry record

NPI: 1013408772
Entity type: Organization
NPI issued: 29 May 2018
Record last updated: 29 May 2018

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.