Organization
NATIOAL COMPOUNDING INSTITUTE INC
Active
Other names
Natioal Compounding Institute Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TINA SULIR-SAADEH (PRES)
(949) 551-7195
Entity
Organization
Contact information
Practice address
1851 LANGLEY AVE, IRVINE, CA 92614-5623
(866) 624-6241
(866) 615-5352
Mailing address
250 E YALE LOOP, SUITE C, IRVINE, CA 92604-4697
(866) 624-6241
(866) 615-5352
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48441
CA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632270
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/14/2008
Last updated
03/30/2010
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