Organization
DEMARTINI SPRING HILL PHARMACY INC.
Active
Other names
DeMartini's Compounding Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALAN DEMARTINI RPH (PRESIDENT)
(530) 273-2268
Entity
Organization
Contact information
Practice address
102 CATHERINE LN, GRASS VALLEY, CA 95945-5701
(530) 273-2268
(530) 273-5987
Mailing address
102 CATHERINE LANE, GRASS VALLEY, CA 95945
(530) 273-2268
(530) 273-0116
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY21515
CA
3336C0004X
Compounding Pharmacy
PHY21515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533441
NABP
CA
05
—
PHA215150
—
CA
01
—
PHY 21515
PHARMACY LIC #
CA
Enumeration date
11/01/2006
Last updated
03/07/2023
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