CUSTOM COMPOUNDING PHARMACY LLC
Pharmacy at Santa Fe Dr, Weatherford, TX

License number
Texas 30028
Category
Suppliers
Type
Pharmacy
Owner
Name: THEODORE LANDERS
Title: OWNER
Phone: (817) 757-3272
Address
Address
1880 Santa Fe Dr STE 200, Weatherford, TX 76086
National Provider ID: 1023499985
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CUSTOM COMPOUNDING PHARMACY LLC at bizstanding.com

CUSTOM COMPOUNDING PHARMACY, LLC

4801 Zion Hl Rd, Weatherford, TX 76088

Registration:
Jul 16, 2012
State ID:
0801626533
Business type:
Domestic Limited Liability Company (LLC)
Owner, Director:
Theodore J Landers (Owner, Director), 240 Parker Oaks Ln, Weatherford, TX 76087
Agent:
Theodore Joseph Landers,4801 Zion Hl Rd, Weatherford, TX 76088 (Physical)
TIN:
32048501749

Pharmacy licenses in Texas










Other Doctors licenses in Texas