Park Compounding Pharmacy
LBN: Park Compounding Pharmacy
Park Compounding Pharmacy is an health care organization with primary practice located at 280 N Westlake Blvd Ste 100, Westlake Village CA 91362-3759. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Park Compounding Pharmacy can be contacted via phone (805) 497-8258, or through Park, Tony via phone (805) 497-8258.
Contact Information
Primary practice address
280 N Westlake Blvd Ste 100
Westlake Village CA 91362-3759
Phone: (805) 497-8258
Fax: (805) 497-7548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY43809 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1376658740 |
|---|---|
| LBN Legal business name | Park Compounding Pharmacy |
| DBA Doing business as | |
| Authorized official | Park, Tony PHRMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Aug 14th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376658740 | NPPES |
| Other | 0511522 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | PHA438090 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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