Southern California Compounding Pharmacy
Compounding Pharmacy
11125 Flintkote Ave Ste F, San Diego
California, 92121-1213
858-622-1278 858-622-1283
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.