Organization
CORNERSTONE COMPOUNDING PHARMACY INC
Active
Other names
Cornerstone Compounding Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVIN DEB (OPERATIONS)
(818) 550-1522
Entity
Organization
Contact information
Practice address
1131 N PACIFIC AVE, GLENDALE, CA 91202-2358
(818) 550-1522
(877) 245-3137
Mailing address
1131 N PACIFIC AVE, GLENDALE, CA 91202-2358
(818) 550-1522
(877) 245-3137
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142584
PK
—
Enumeration date
10/24/2013
Last updated
12/03/2013
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