Heritage Compounding Pharmacy in Brea - Compounding Pharmacy
Heritage Compounding Pharmacy - NPI 1104964840
Heritage Compounding Pharmacy is a Compounding Pharmacy in Brea, California. Heritage Compounding Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Heritage Compounding Pharmacy is 1104964840. The last update date is 2020-08-22.
Heritage Compounding Pharmacy's current location address is 2903 Saturn St Ste A, Brea, California. You can contact this provider via phone number 7145791636. The mailing address for Heritage Compounding Pharmacy is 2903 Saturn St Ste A, Brea, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Compounding Pharmacy |
|---|---|
| Address | 2903 Saturn St Ste A, Brea, California |
| Phone Number | 7145791636 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARM. D. |
|---|---|
| Authorized Official Name | Kim Esther |
| Telephone Number | 7145791636 |
NPI Number Detail
| NPI Number | 1104964840 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2903 Saturn St Ste A |
|---|---|
| City | Brea |
| State | California (CA) |
| Post Code | 9282162590 |
| Phone Number | 7145791636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | PHY47098 |
|
Definition: 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 pract |
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What is the unique provider identifier assigned to Heritage Compounding Pharmacy?
The Heritage Compounding Pharmacy has been issued the NPI (National Provider Identifier) 1104964840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Heritage Compounding Pharmacy is physically located?
The Heritage Compounding Pharmacy is physically situated at the following address: 2903 Saturn St Ste A, Brea, CA, 9282162590.
What is Heritage Compounding Pharmacy's area of expertise and its corresponding taxonomy classification?
The Heritage Compounding Pharmacy's field of specialization is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their areas of practice.
On what date did Heritage Compounding Pharmacy receive its 1104964840 assignment from the Centers for Medicare & Medicaid Services?
The Heritage Compounding Pharmacy was assigned its 1104964840 on 2007-02-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Heritage Compounding Pharmacy most recently updated?
The details pertaining to the Heritage Compounding Pharmacy, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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