Organization
CREATIVE COMPOUNDS INC
Active
Other names
HARBOR COMPOUNDING AND HOME HEALTH CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HUA PHARMD. (CEO/PIC)
(949) 642-0106
Entity
Organization
Contact information
Practice address
3500 W LAKE CENTER DR STE B, SANTA ANA, CA 92704-6900
(949) 642-0106
(949) 642-5039
Mailing address
3500 W LAKE CENTER DR STE B, SANTA ANA, CA 92704-6900
(949) 642-0106
(949) 642-5039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59500
RETAIL PHARMACY PERMIT
CA
Enumeration date
08/31/2010
Last updated
01/16/2025
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