Grandpas Compounding Pharmacy Inc
Pharmacy
7563 Green Valley Rd, Placerville
California, 95667-3917
530-622-2323 530-622-2011
Grandpas Compounding Pharmacy Inc is not a DME supplier for medicare equipments and products.
Grandpas Compounding Pharmacy Inc is a Pharmacy in Placerville, California. It is located at 7563 Green Valley Rd, Placerville and it's customer support contact number is 530-622-2323. The authorized person of Grandpas Compounding Pharmacy Inc is Dan Wills who is Manager of the pharmacy and his contact number is 530-622-2323. Active license number of Grandpas Compounding Pharmacy Inc is PHY045878 for Pharmacy in California.
Grandpas Compounding Pharmacy Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Grandpas Compounding Pharmacy Inc 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: | Grandpas Compounding Pharmacy Inc |
| Type: | Pharmacy |
| Location: | 7563 Green Valley Rd, Placerville, California, 95667-3917 |
| Phone: | 530-622-2323 |
| Fax: | 530-622-2011 |
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: | Dan Wills |
| Position: | Manager |
| Contact Number: | 530-622-2323 |
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: | 1689715286 |
| NPI Enumeration Date: | 08 Feb, 2007 |
| NPI Last Update On: | 23 Nov, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grandpas Compounding Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PHY045878 | California | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
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 |
| 2155454 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7563 Green Valley Rd, Placerville, California |
| Zip: | 95667-3917 |
| Phone Number: | 530-622-2323 |
| Fax Number: | 530-622-2011 |
Patients can reach Grandpas Compounding Pharmacy Inc at
7563 Green Valley Rd, Placerville, California or can
call on customer care at 530-622-2323.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.