Organization
SORRENTO COMPOUNDING LLC
Active
Other names
Sorrento Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAGWANT RAI RPH (CEO)
(858) 531-3151
Entity
Organization
Contact information
Practice address
4040 SORRENTO VALLEY BLVD STE B, SAN DIEGO, CA 92121-1415
(619) 736-7770
Mailing address
4040 SORRENTO VALLEY BLVD STE B, SAN DIEGO, CA 92121-1415
(619) 736-7770
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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