Organization
KAIZEN COMPOUNDING PHARMACY
Active
Other names
Kaizen Compounding Pharmacy, Inc., Owens Pharmacy #8
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH PHARMACY MAARTENS RPTT (OFFICE MANAGER)
(530) 244-8669
Entity
Organization
Contact information
Practice address
2025 COURT ST, STE B, REDDING, CA 96001-1805
(530) 244-8669
(530) 243-0687
Mailing address
2025 COURT ST STE B, REDDING, CA 96001-1805
(530) 244-8669
(530) 243-0687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557124
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/23/2006
Last updated
06/23/2022
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