Organization
INSPIRED COMPOUNDS INC
Active
Organization
INSPIRED COMPOUNDS INC
Active
Other names
RODEO DRIVE ANTI-AGING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C HUA PHARM D (PRESIDENT/PIC)
(310) 247-8004
Entity
Organization
Contact information
Practice address
421 N RODEO DR, P4, BEVERLY HILLS, CA 90210-4500
(310) 247-8004
(310) 247-8015
Mailing address
421 N RODEO DR, P4, BEVERLY HILLS, CA 90210-4500
(310) 247-8004
(310) 247-8015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50728
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50728
CA
3336C0004X
Compounding Pharmacy
PHY50728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY50728
RETAIL PHARMACY PERMIT
CA
Enumeration date
09/21/2011
Last updated
09/21/2011
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