Organization
SYNERGI PHARMACEUTICAL SOLUTIONS INC
Active
Other names
ORANGE COUNTY COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM YEN-PO WANG PHARM D (PRESIDENT/ PHARMACIST)
(949) 612-6088
Entity
Organization
Contact information
Practice address
6865 ALTON PKWY, SUITE 120, IRVINE, CA 92618-3739
(949) 612-6088
(949) 612-6082
Mailing address
6865 ALTON PKWY, SUITE 120, IRVINE, CA 92618-3739
(949) 612-6088
(949) 612-6082
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
CA
3336C0004X
Compounding Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
CALIFORNIA STATE BOARD OF PHARAMACY
CA
Enumeration date
08/14/2012
Last updated
08/14/2012
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