Organization
PACIFIC OAK COMPOUNDING PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KONG PHARMD (CEO)
(626) 348-8930
Entity
Organization
Contact information
Practice address
12 N 1ST AVE, ARCADIA, CA 91006-3205
(626) 348-8930
(626) 348-8144
Mailing address
12 N 1ST AVE, ARCADIA, CA 91006-3205
(626) 348-8930
(626) 348-8144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
08/15/2019
Last updated
09/20/2023
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