Organization · Type 2 NPI

Southern California Compounding Pharmacy

Compounding Pharmacy · San Diego, CA

NPI number 1669617734 Active

Practice location

11125 Flintkote Ave Ste F
San Diego, CA 92121-1213

Fax (858) 622-1283

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed
Compounding Pharmacy Primary	3336C0004X	PHY49147 (CA)
Mail Order Pharmacy	3336M0002X	None listed
Specialty Pharmacy	3336S0011X	None listed

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…

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About NPI 1669617734

Southern California Compounding Pharmacy's National Provider Identifier is 1669617734, issued on Dec 3, 2008. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in San Diego, CA. The record was last updated on Oct 23, 2015.