POLARIS JACK, INC. is a compounding pharmacy pharmacy in Myrtle Beach, SC. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. POLARIS JACK, INC. NPI is 1740890433. The provider is registered as an organization entity type.
The provider's business location address is:
3072 DICK POND RD UNIT 2
MYRTLE BEACH, SC
ZIP 29588-954
Phone: (843) 293-7979
Fax: (843) 293-6499
The provider's authorized official is Forrest Westley .
The authorized official title is President and has the following contact phone number (843) 293-7979.
The enumeration date for this NPI number is 8/6/2020 and was last updated on 8/6/2020.