Organization
ONESOURCE COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SESYLIA ASTOR RPH (PHARMACIST)
(831) 345-6404
Entity
Organization
Contact information
Practice address
104 WHISPERING PINES DR STE 105, SCOTTS VALLEY, CA 95066
(831) 535-6864
Mailing address
104 WHISPERING PINES DR STE 105, SCOTTS VALLEY, CA 95066-4799
(831) 535-6864
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY 55294
CA
Other
Enumeration date
05/17/2017
Last updated
03/05/2021
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