Organization
DAVIS COMPOUNDING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SNIPES JR. R.PH. (OWNER)
(530) 756-1255
Entity
Organization
Contact information
Practice address
1205 DRAKE DR, STE E, DAVIS, CA 95616-0856
(530) 756-1255
(530) 756-1253
Mailing address
1205 DRAKE DR, STE E, DAVIS, CA 95616-0856
(530) 756-1255
(530) 756-1253
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY45970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0582103
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
03/15/2007
Last updated
06/18/2008
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