Provider Demographics
NPI:1457512600
Name:COMPOUNDING DOCS, INC
Entity Type:Organization
Organization Name:COMPOUNDING DOCS, INC
Other - Org Name:CDRX INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:561-504-6745
Mailing Address - Street 1:1000 CLINT MOORE RD
Mailing Address - Street 2:BLDG B STE 201
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2818
Mailing Address - Country:US
Mailing Address - Phone:561-826-0711
Mailing Address - Fax:561-826-0717
Practice Address - Street 1:1000 CLINT MOORE RD
Practice Address - Street 2:BLDG B STE 201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2818
Practice Address - Country:US
Practice Address - Phone:561-826-0711
Practice Address - Fax:561-826-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 198933336C0004X
FLPH278503336H0001X, 3336H0001X
FLPH198933336S0011X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy