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License #: 4670
Company: INTRATHECAL COMPOUNDING SPECIALISTS, LLC
DBA:
C/O (3PL) Distributor:
Distribution Location:  
Address: 206A Jacobs Run
City: Scott State: LA Zip: 70583
Additional 3PLs: NA
Business Location:  
Address: 206A JACOBS RUN
City: SCOTT State: LA Zip: 70508
Regulatory:  
Telephone #: 337-237-6077 Fax #: 337-237-8841
License Type: Drug or Device Distributor
License Sub-Type: Wholesaler
First Issue Date: 2013-05-21Expiration Date: 2024-12-31
Disciplinary or Enforcement Action(s): No