Organization
ANAHEIM COMPOUNDING LLC
Active
Other names
Anaheim Hills Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
POUYA ARIAEI RPH (OWNER)
(714) 279-1111
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD STE 100, ANAHEIM, CA 92807-4761
(714) 279-1111
(714) 279-1115
Mailing address
500 S ANAHEIM HILLS RD STE 100, ANAHEIM, CA 92807-4761
(714) 279-1111
(714) 279-1115
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58764
PHARMACY PERMIT
CA
Enumeration date
06/03/2025
Last updated
06/03/2025
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