Provider Demographics
NPI:1518395656
Name:COMPOUNDING SOLUTIONS PHARMACY LLC
Entity Type:Organization
Organization Name:COMPOUNDING SOLUTIONS PHARMACY LLC
Other - Org Name:COMPOUNDING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAMLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-558-0507
Mailing Address - Street 1:115 PELHAM RD STE 12
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-2155
Mailing Address - Country:US
Mailing Address - Phone:864-558-0508
Mailing Address - Fax:864-558-0509
Practice Address - Street 1:115 PELHAM RD STE 12
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-2155
Practice Address - Country:US
Practice Address - Phone:864-558-0508
Practice Address - Fax:864-558-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC148743336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2143119OtherPK