Specialty Medicine Compounding Pharmacy
Specialty Medicine Compounding Pharmacy is a Compounding Pharmacy in South Lyon, Michigan. Licensed in Michigan. Registered with an NPI since 2006.
- Licensed in
- MI
- In the registry since
- 2006
Practice location Address checks out
350 S Lafayette StSouth Lyon, MI 48178-1814
Phone: (248) 446-2643
Fax: (248) 486-1906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Compounding Pharmacy (primary) | Taxonomy 3336C0004X · Licence 5301007610 (MI) |
|---|
Record details
| NPI number | 1083770978 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenny Walkup — Owner · (248) 446-2643 |
| NPI enumerated | December 28, 2006 |
| Last updated in NPPES | April 19, 2013 |
| Mailing address | 350 S Lafayette St, South Lyon, MI 48178-1814 |