NPI 1265208193

Restorative Compounding Pharmacy and Wellness LLC

Organisation Compounding Pharmacy Waterford, MI

Practice location

Address: 4450 Dixie Hwy STE a, Waterford, MI 48329-3511
Phone: (248) 266-5276

Authorised official

Name: Rick Shamoon
Title: Pic/Ceo
Phone: (248) 266-5276

Registered specialties

Compounding Pharmacy Primary

Suppliers Taxonomy 3336C0004X

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Registry record

NPI: 1265208193
Entity type: Organization
NPI issued: 1 Dec 2023
Record last updated: 1 Dec 2023

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.