Organization
COMPOUND CENTRAL PHARMACY
Active
Other names
COMPOUNDING CORNER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUAN A NGUYEN RPH (PIC)
(562) 431-2308
Entity
Organization
Contact information
Practice address
5032 KATELLA AVE., LOS ALAMITOS, CA 90720-2802
(562) 431-2308
(562) 431-7124
Mailing address
5032 KATELLA AVE., LOS ALAMITOS, CA 90720-2802
(562) 431-2308
(562) 431-7124
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48388
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5625201
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/30/2007
Last updated
11/04/2021
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