Premium Compounding Inc
Compounding Pharmacy · Decatur, AL
Practice location
3220 Highway 31 S Ste a2Decatur, AL 35603-1731
- Phone
- (256) 566-8011
NPI record
- NPI
- 1013408772
- Entity type
- Organization (Type 2)
- Enumeration date
- May 29, 2018
- Last updated
- May 29, 2018
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
114813 | AL |
Authorized official
- Name
- Mr. Samuel Marion Costello, RPH
- Title
- President
- Phone
- (256) 566-8011
About Premium Compounding Inc
Premium Compounding Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 3220 Highway 31 S Ste a2, Decatur, AL 35603-1731. The NPI number 1013408772 was assigned on May 29, 2018 and the record was last updated on May 29, 2018.
Premium Compounding Inc lists a license in the registry: #114813 (AL) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Mr. Samuel Marion Costello, RPH, President.
Frequently asked questions
What is the NPI number of Premium Compounding Inc?
The NPI number is 1013408772.
What is the phone number of Premium Compounding Inc?
The phone number listed for the practice location is (256) 566-8011.
Where is Premium Compounding Inc located?
3220 Highway 31 S Ste a2, Decatur, AL 35603-1731.
What is the taxonomy code for Premium Compounding Inc?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Compounding Pharmacy providers in Decatur
- Legacy Compounding Inc2422 Danville Rd SW Ste H
- Premium Compounding3220 Highway 31 S Ste a2