Organization
MISSION PHARMACY & COMPOUNDING, LTD
Active
Organization
MISSION PHARMACY & COMPOUNDING, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELESTE FAVILA (PARTNER)
(858) 467-0929
Entity
Organization
Contact information
Practice address
6020 SANTO RD, SUITE B, SAN DIEGO, CA 92124-1195
(858) 467-0929
(858) 467-0922
Mailing address
6020 SANTO RD, SUITE B, SAN DIEGO, CA 92124-1195
(858) 467-0929
(858) 467-0922
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46560
CA
3336C0004X
Compounding Pharmacy
PHY46560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0555980
NCPDP
CA
05
—
PHA447320
—
CA
01
—
PHY46560
RX LICENSE
CA
Enumeration date
09/14/2006
Last updated
03/30/2010
Update your record
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