Redwood Compounding Pharmacy

LBN: Redwood Compounding Pharmacy Inc
Redwood Compounding Pharmacy is an health care organization with primary practice located at 600 Martin Ave Ste 125, Rohnert Park CA 94928-7919. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Redwood Compounding Pharmacy Inc can be contacted via phone (707) 541-6186, or through Hailemariam, Moussie via phone (707) 541-6186.

Contact Information

Primary practice address
600 Martin Ave Ste 125 Rohnert Park CA 94928-7919
Phone: (707) 541-6186
Fax: (707) 541-6287
Website:
Map and Directions
Authorized official contact:
Name: Hailemariam, Moussie PHARM D
Phone: (707) 541-6186

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY50691 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY50691 California
Suppliers / Compounding Pharmacy 3336C0004X PHY50691 California

Profile Details

NPI number 1598032278
LBN Legal business name Redwood Compounding Pharmacy Inc
DBA Doing business as Redwood Compounding Pharmacy
Authorized official Hailemariam, Moussie PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2011
Last updated Nov 22nd, 2011 - about 13 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 1598032278 NPPES
California Other PHY50691 CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT

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