Organization
COMPOUNDIA RX INC
Active
Other names
Compoundia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIK KARAPETIAN (PRESIDENT)
(323) 229-5478
Entity
Organization
Contact information
Practice address
766 LAKEFIELD RD STE E, WESTLAKE VILLAGE, CA 91361-2661
(805) 371-4443
(804) 371-4375
Mailing address
766 LAKEFIELD RD SUITE E, WESTLAKE VILLAGE, CA 91361
(805) 371-4443
(804) 371-4375
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
56030
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175289
PK
—
Enumeration date
02/05/2018
Last updated
07/27/2018
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