Organization
GLOBAL COMPOUNDING PHARMACY LLC
Active
Other names
Global Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DABO KABOV (OWNER)
(424) 832-3421
Entity
Organization
Contact information
Practice address
1544 PURDUE AVE, LOS ANGELES, CA 90025-3105
(424) 832-3421
(424) 832-3452
Mailing address
1544 PURDUE AVE, LOS ANGELES, CA 90025-3105
(424) 832-3421
(424) 832-3452
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50713
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5643956
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/06/2012
Last updated
09/10/2012
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