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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