Organization
HERITAGE COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER KIM (PHARM. D.)
(714) 579-1636
Entity
Organization
Contact information
Practice address
2903 SATURN ST STE A, BREA, CA 92821-6259
(714) 579-1636
Mailing address
2903 SATURN ST STE A, BREA, CA 92821-6259
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY47098
CA
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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