Organization · Type 2 NPI
Custom Compounding Centers LLC
Compounding Pharmacy · Los Alamitos, CA
Practice location
10525 Humbolt St
Los Alamitos, CA 90720-5401
Fax (714) 894-2150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Compounding Pharmacy Primary | 3336C0004X | PHY 50368 (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…
2 other providers at this address
About NPI 1902128911
Custom Compounding Centers LLC's National Provider Identifier is 1902128911, issued on Feb 17, 2010. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Los Alamitos, CA. The record was last updated on Jan 14, 2014.