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Organization

VIP COMPOUNDING PHARMACY CORP

Active
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Organization

VIP COMPOUNDING PHARMACY CORP

Active
Other names
LYONS PHARMACY & COMPOUNDING LAB
Organization subpart
No

Provider details

NPI number
Authorized official
DR. POUYA FARZADFAR PHARM D (PRESIDENT/PIC)
(661) 777-7770
Entity
Organization

Contact information

Practice address
23206 LYONS AVE, STE 112, NEWHALL, CA 91321-2667
(661) 777-7770
(661) 777-7776
Mailing address
23206 LYONS AVE, STE 112, NEWHALL, CA 91321-2667
(661) 777-7770
(661) 777-7776

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—

Other

Enumeration date
04/10/2013
Last updated
04/30/2013
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