Organization · Type 2 NPI

Compounding Pharmacy LLC

Community/Retail Pharmacy · Bristol, TN

NPI number 1760437347 Active

Practice location

310 Bluff City Hwy
Bristol, TN 37620-4602

Fax (423) 764-5167

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	2113 (TN)
Compounding Pharmacy	3336C0004X	None listed
Mail Order Pharmacy	3336M0002X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

Other community/retail pharmacy providers in Bristol

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NPI record

NPI: 1760437347
Entity type: Organization (Type 2)
Issued: May 23, 2006
Last updated: Jan 20, 2026
Status: Active

Other names

<unavail>
Anderson Compounding Pharmacy · doing business as
Waters Wellness · doing business as

Authorized official

Wesley Waters, PharmD
Owner/pharmacist
(406) 531-5888

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760437347

Compounding Pharmacy LLC's National Provider Identifier is 1760437347, issued on May 23, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bristol, TN. The record was last updated on Jan 20, 2026.