PHARMACY COMPOUNDING VENTURES
Pharmacy at Kanis Rd, Little Rock, AR

License number
Arkansas AR7501
Category
Pharmacy
Type
Pharmacist
Owner
Name: MARK WAYNE SHINABERY RPH
Title: MANAGER.OWNER
Phone: (501) 217-0000
Address
Address
11700 Kanis Rd, Little Rock, AR 72211
National Provider ID: 1942343397
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHARMACY COMPOUNDING VENTURES, LLC

11700 Kanis Rd SUITE 1, Little Rock, AR 72211

Status:
Inactive
Industry:
Ret Drugs/Sundries
Doing business as:
Custom Compounding Center<br>Custom Compounding Center Ark
Registration:
Jan 19, 2001
Phone:
(501) 217-0000 (Phone)
State ID:
100194412
Business type:
Limited Liability Company
Managing Member, Members:
Donald C Stadelli (CPA, Mbr),Mark Wayne Shinabery (Owner, Director Of Pharmacy, Mbr, Pharmacist),James Mathias (Mbr),...
Filled under act:
Domestic LLC; 1003 of 1993

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