Provider Demographics
NPI:1497195895
Name:RELEVANT COMPOUNDING LLC
Entity Type:Organization
Organization Name:RELEVANT COMPOUNDING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:740-941-1792
Mailing Address - Street 1:9329 STATE ROUTE 220
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-9012
Mailing Address - Country:US
Mailing Address - Phone:740-941-1792
Mailing Address - Fax:
Practice Address - Street 1:9329 STATE ROUTE 220
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-9012
Practice Address - Country:US
Practice Address - Phone:740-941-1792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy