Grandpas Compounding Pharmacy Inc

Pharmacy



  
  7563 Green Valley Rd, Placerville
California, 95667-3917

 530-622-2323    530-622-2011
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.
SpecializationLicense NumberStateStatus
Pharmacy PHY045878CaliforniaPrimary
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.
IdentifierTypeStateIssuer
2155454OtherPk
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.