Organization
CREATIVE CARE-RX, INC.
Active
Other names
Creative Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TRAN PHARM.D. (CEO)
(714) 420-6491
Entity
Organization
Contact information
Practice address
3303 HARBOR BLVD STE C4, COSTA MESA, CA 92626-1518
(714) 627-5600
Mailing address
3303 HARBOR BLVD STE C4, COSTA MESA, CA 92626-1518
(714) 627-5600
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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