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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
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