Organization
CALIFORNIA PHARMACY & COMPOUNDING CENTER INC
Active
Other names
CALIFORNIA PHARMACY & COMPOUNDING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SADAF BAHADORAN (PHARMACY MANAGER)
(949) 642-8057
Entity
Organization
Contact information
Practice address
4000 BIRCH ST, STE 120, NEWPORT BEACH, CA 92660-2211
(949) 642-8057
(949) 642-0725
Mailing address
4000 BIRCH ST, STE 120, NEWPORT BEACH, CA 92660-2211
(949) 642-8057
(949) 642-0725
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000765
PK
—
Enumeration date
08/20/2006
Last updated
04/05/2019
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