Costa Mesa Compounding Pharmacy is not a DME supplier for medicare equipments and products.
Costa Mesa Compounding Pharmacy is a Compounding Pharmacy in Costa Mesa, California. This pharmacy is owned and operated by Innovative Rx Inc. It is located at 275 Victoria St, Ste 1f, Costa Mesa and it's customer support contact number is 949-642-0106. The authorized person of Costa Mesa Compounding Pharmacy is Mayank Shan who is President of the pharmacy and his contact number is 949-642-0106. Active license number of Costa Mesa Compounding Pharmacy is PHY48847 for Compounding Pharmacy in California. Costa Mesa Compounding Pharmacy is 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 compounding practice.
Pharmacy Details:
Costa Mesa Compounding Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Costa Mesa Compounding Pharmacy
Type:
Compounding Pharmacy
Location:
275 Victoria St, Ste 1f, Costa Mesa, California, 92627-1906
Phone:
949-642-0106
Fax:
949-642-5039
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mayank Shan
Position:
President
Contact Number:
949-642-0106
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1063524056
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
01 Oct, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Costa Mesa Compounding Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Compounding Pharmacy
PHY48847
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0525468
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
275 Victoria St, Ste 1f Costa Mesa, California
Zip:
92627-1906
Phone Number:
949-642-0106
Fax Number:
949-642-5039
Patients can reach Costa Mesa Compounding Pharmacy at 275 Victoria St, Ste 1f, Costa Mesa, California or can call on customer care at 949-642-0106.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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