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Organization
SGV COMPOUNDING PHARMACY INC
Active
Organization
SGV COMPOUNDING PHARMACY INC
Active
Other names
SGV Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CHEUNG (OWNER)
(626) 757-8675
Entity
Organization
Contact information
Practice address
5610 1/2 ROSEMEAD BLVD, TEMPLE CITY, CA 91780-1849
(626) 291-5014
(626) 291-5695
Mailing address
5610 1/2 ROSEMEAD BLVD, TEMPLE CITY, CA 91780-1849
(626) 291-5014
(626) 291-5695
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY50946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134361
PK
—
Enumeration date
05/03/2012
Last updated
07/31/2013
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