# CALIFORNIA PHARMACY & COMPOUNDING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Pharmacy and Compounding Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720629769
- **Authorized official:** MISS SADAF BAHADORAN (PHARMACY MANAGER)
- **Authorized official phone:** (949) 642-8057

## Contact information

- **Practice address:** 4000 BIRCH ST STE 120, NEWPORT BEACH, CA 92660-2258
- **Practice address phone:** (949) 642-8057
- **Mailing address:** 4000 BIRCH ST STE 120, NEWPORT BEACH, CA 92660-2258
- **Mailing address phone:** (949) 642-8057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2019
- **Last updated:** 10/01/2019
