Provider Demographics
NPI:1093692089
Name:CITI COMPOUNDING
Entity type:Organization
Organization Name:CITI COMPOUNDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:METZLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-796-5149
Mailing Address - Street 1:5051 NW 13TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-8650
Mailing Address - Country:US
Mailing Address - Phone:305-796-5149
Mailing Address - Fax:305-796-5149
Practice Address - Street 1:5051 NW 13TH AVE STE B
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-8650
Practice Address - Country:US
Practice Address - Phone:305-796-5149
Practice Address - Fax:305-796-5149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy