Park Compounding, Inc.

LBN: Park Compounding, Inc.
Park Compounding, Inc. is an health care organization with primary practice located at 9257 Research Dr , Irvine CA 92618. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Park Compounding, Inc. can be contacted via phone (844) 446-6979, or through Boll, Andrew via phone (858) 704-4040.

Contact Information

Primary practice address
9257 Research Dr Irvine CA 92618
Phone: (844) 446-6979
Fax: (949) 551-1950
Website:
Map and Directions
Authorized official contact:
Name: Boll, Andrew
Phone: (858) 704-4040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY53360 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1114061132
LBN Legal business name Park Compounding, Inc.
DBA Doing business as
Authorized official Boll, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Oct 1st, 2018 - about 6 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 1114061132 NPPES
California Other 0522967 NCPDP

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