Innovative Compounding Pharmacy in Folsom - Compounding Pharmacy
Innovative Compounding Pharmacy - NPI 1083829170
Innovative Compounding Pharmacy is a Compounding Pharmacy in Folsom, California. Innovative Compounding Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Innovative Compounding Pharmacy is 1083829170. The last update date is 2007-08-03.
Innovative Compounding Pharmacy's current location address is 820 Wales Dr, Folsom, California. You can contact this provider via phone number 9169849222 and fax number 9164588267. The mailing address for Innovative Compounding Pharmacy is 820 Wales Dr, Folsom, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Compounding Pharmacy |
|---|---|
| Address | 820 Wales Dr, Folsom, California |
| Phone Number | 9169849222 |
| Fax Number | 9164588267 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNERPHARM |
|---|---|
| Authorized Official Name | Rashidi Anna |
| Credentials | PHARMD |
| Telephone Number | 9169849222 |
NPI Number Detail
| NPI Number | 1083829170 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-08-03 |
Provider Mailing Address Detail
| Address | 820 Wales Dr |
|---|---|
| City | Folsom |
| State | California (CA) |
| Post Code | 956305546 |
| Phone Number | 9169849222 |
| Fax Number | 9164588267 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | PHY 48417 |
|
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 identification code assigned to Innovative Compounding Pharmacy by the Centers for Medicare & Medicaid Services?
The Innovative Compounding Pharmacy has been issued the NPI (National Provider Identifier) 1083829170. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Innovative Compounding Pharmacy is physically located?
The Innovative Compounding Pharmacy is physically situated at the following address: 820 Wales Dr, Folsom, CA, 956305546.
What is Innovative Compounding Pharmacy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Innovative Compounding Pharmacy's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
When was the Innovative Compounding Pharmacy's 1083829170 issued?
The Innovative Compounding Pharmacy's 1083829170 was issued on 2007-05-11.
When was the information pertaining to Innovative Compounding Pharmacy most recently updated or revised?
The details related to Innovative Compounding Pharmacy, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-03.