Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Compounding Pharmacy LLC

Organization Pharmacy · NPI 1659058733

Compounding Pharmacy LLC is a Pharmacy in Bristol, Tennessee. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

310 Bluff City Hwy
Bristol, TN 37620-4602
Phone: (423) 764-4136
Fax: (423) 764-5167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1659058733
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wesley Waters — Owner · (406) 531-5888
NPI enumeratedJune 30, 2023
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023
Mailing addressPo Box 305, Damascus, VA 24236-0305

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