Southern California Compounding Pharmacy is not a DME supplier for medicare equipments and products.
Southern California Compounding Pharmacy is a Compounding Pharmacy in San Diego, California. It is located at 11125 Flintkote Ave Ste F, San Diego and it's customer support contact number is 858-622-1278. The authorized person of Southern California Compounding Pharmacy is Ollen Williams who is Technician of the pharmacy and his contact number is 858-622-1278. Active license number of Southern California Compounding Pharmacy is PHY49147 for Compounding Pharmacy in California. Southern California 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:
Southern California 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:
Southern California Compounding Pharmacy
Type:
Compounding Pharmacy
Location:
11125 Flintkote Ave Ste F, San Diego, California, 92121-1213
Phone:
858-622-1278
Fax:
858-622-1283
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:
Ollen Williams
Position:
Technician
Contact Number:
858-622-1278
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:
1669617734
NPI Enumeration Date:
03 Dec, 2008
NPI Last Update On:
23 Oct, 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 Southern California Compounding Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Compounding Pharmacy
PHY49147
California
Primary
Pharmacy
Secondary
Community/Retail Pharmacy
Secondary
Mail Order Pharmacy
Secondary
Specialty 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
2117954
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:
11125 Flintkote Ave Ste F, San Diego, California
Zip:
92121-1213
Phone Number:
858-622-1278
Fax Number:
858-622-1283
Patients can reach Southern California Compounding Pharmacy at 11125 Flintkote Ave Ste F, San Diego, California or can call on customer care at 858-622-1278.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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