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Organization
PRECISE COMPOUNDING PHARMACY INC
Active
Organization
PRECISE COMPOUNDING PHARMACY INC
Active
Other names
Precise Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHKAN KOHANPOUR PHARM D. (MANAGER)
(310) 559-5555
Entity
Organization
Contact information
Practice address
10844-46 WASHINGTON BLVD,, CULVER CITY, CA 90232
(310) 559-5555
(310) 559-5553
Mailing address
10844-46 WASHINGTON BLVD., CULVER CITY, CA 90232
(310) 559-5555
(310) 559-5553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
49857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119187
PK
—
Enumeration date
02/27/2009
Last updated
04/27/2016
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