Organization
LA VITA COMPOUNDING PHARMACY LLC
Active
Other names
LA VITA COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GIVANT RPH (OWNER)
(858) 453-2500
Entity
Organization
Contact information
Practice address
11468 SORRENTO VALLEY RD STE C, SAN DIEGO, CA 92121-1347
(858) 453-2500
(858) 453-2501
Mailing address
11468 SORRENTO VALLEY RD STE C, SAN DIEGO, CA 92121-1347
(858) 453-2500
(858) 453-2501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
48731
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628308
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/02/2007
Last updated
11/15/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us