Triad Compounding Pharmacy

LBN: Artesia Pharmacy Inc
Triad Compounding Pharmacy is an health care organization with primary practice located at 11090 Artesia Blvd Ste H , Cerritos CA 90703-2545. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Artesia Pharmacy Inc can be contacted via phone (562) 468-4311, or through Miller, Ronald via phone (562) 468-4311.

Contact Information

Primary practice address
11090 Artesia Blvd Ste H Cerritos CA 90703-2545
Fax: (562) 468-4314
Website:
Authorized official contact:
Name: Miller, Ronald

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY41551 California
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1033155403
LBN Legal business name Artesia Pharmacy Inc
DBA Doing business as Triad Compounding Pharmacy
Authorized official Miller, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 13th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033155403 NPPES
Other 2114155 PK

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