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Organization
ANAHEIM COMPOUNDING LLC
Active
Organization
ANAHEIM COMPOUNDING LLC
Active
Other names
Anaheim Hills Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
POUYA ARIAEI RPH (OWNER)
(714) 279-1111
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD STE 100, ANAHEIM, CA 92807-4761
(714) 279-1111
(714) 279-1115
Mailing address
500 S ANAHEIM HILLS RD STE 100, ANAHEIM, CA 92807-4761
(714) 279-1111
(714) 279-1115
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58764
PHARMACY PERMIT
CA
Enumeration date
06/03/2025
Last updated
06/03/2025
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