Organization
PRECISE COMPOUNDING PHARMACY INC
Active
Other names
Precise Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHKAN KOHANPOUR PHARM D. (MANAGER)
(310) 559-5555
Entity
Organization
Contact information
Practice address
10844-46 WASHINGTON BLVD,, CULVER CITY, CA 90232
(310) 559-5555
(310) 559-5553
Mailing address
10844-46 WASHINGTON BLVD., CULVER CITY, CA 90232
(310) 559-5555
(310) 559-5553
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
49857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119187
PK
—
Enumeration date
02/27/2009
Last updated
04/27/2016
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