Organization
SINUTOPIC INC
Active
Other names
Sinus Dynamics Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SHAFER (CONTROLLER)
(805) 552-7579
Entity
Organization
Contact information
Practice address
755 LAKEFIELD RD, STE D, WESTLAKE VILLAGE, CA 91361-2622
(805) 777-7800
(888) 414-0666
Mailing address
755 LAKEFIELD RD, STE D, WESTLAKE VILLAGE, CA 91361-2622
(805) 777-7800
(888) 414-0666
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50812
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133370
PK
—
Enumeration date
11/21/2011
Last updated
03/26/2015
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