Organization · Type 2 NPI
Innovative Compounding Pharmacy
Compounding Pharmacy · Folsom, CA
Practice location
820 Wales Dr, Suite 3
Folsom, CA 95630-5546
Fax (916) 458-8267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | PHY 48417 (CA) |
Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…
Another provider at this address
Other compounding pharmacy providers in Folsom
About NPI 1083829170
Innovative Compounding Pharmacy's National Provider Identifier is 1083829170, issued on May 11, 2007. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Folsom, CA. The record was last updated on Aug 3, 2007.