Organization
GLOBAL COMPOUNDING PHARMACY LLC
Active
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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