Whalio Doctors

NPI 1174803993

Auxilium Specialty Apothecary Pharmacy INC

Organisation Compounding Pharmacy Hattiesburg, MS

Practice location

Address
16 Keystone Dr STE B, Hattiesburg, MS 39402-6121
Phone
(601) 255-0077
Fax
(888) 615-6578

Authorised official

Name
Brandon Nesler
Title
Pharmacist in Charge
Phone
(662) 404-0755

Registered specialties (2)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X Licence 09085/1.1 (MS)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1174803993
Entity type
Organization
NPI issued
24 Aug 2011
Record last updated
9 Dec 2015

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.