Southern California Compounding Pharmacy
LBN: Southern California Compounding Pharmacy
Southern California Compounding Pharmacy is an health care organization with primary practice located at 11125 Flintkote Ave Ste F , San Diego CA 92121-1213. 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 / Compounding Pharmacy is the primary health care specialty.
Southern California Compounding Pharmacy can be contacted via phone (858) 622-1278, or through Williams, Ollen via phone (858) 622-1278.
Contact Information
Primary practice address
11125 Flintkote Ave Ste F
San Diego CA 92121-1213
Phone: (858) 622-1278
Fax: (858) 622-1283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | PHY49147 | California |
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1669617734 |
|---|---|
| LBN Legal business name | Southern California Compounding Pharmacy |
| DBA Doing business as | Southern California Compounding Pharmacy |
| Authorized official | Williams, Ollen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 3rd, 2008 |
| Last updated | Oct 23rd, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669617734 | NPPES |
| Other | 2117954 | PK |
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