Provider Demographics
NPI:1134089279
Name:THE COMPOUND HUB PHARMACY
Entity type:Organization
Organization Name:THE COMPOUND HUB PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OTIBHOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ONOSODE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:248-346-1179
Mailing Address - Street 1:7070 KNIGHTS CT STE 1203
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5525
Mailing Address - Country:US
Mailing Address - Phone:281-971-0199
Mailing Address - Fax:281-971-0327
Practice Address - Street 1:7070 KNIGHTS CT STE 1203
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5525
Practice Address - Country:US
Practice Address - Phone:281-971-0199
Practice Address - Fax:281-971-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy