Organization
ANAHEIM COMPOUNDING LLC
Active
Other names
Anaheim hills medical pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
POUYA ARIAEI (OWNER)
(310) 968-8567
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD, ANAHEIM, CA 92807-4780
(714) 279-1111
Mailing address
500 S ANAHEIM HILLS RD, ANAHEIM, CA 92807-4780
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
11/18/2022
Last updated
04/21/2023
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