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Innovative Compounding Pharmacy
Compounding Pharmacy in Folsom, California
NPI 1083829170

Innovative Compounding Pharmacy is a Compounding Pharmacy based in Folsom, CA and is specialized in Compounding Pharmacy. Innovative Compounding Pharmacy practices in Folsom, CA. The NPI Number for Innovative Compounding Pharmacy is 1083829170 and holds a License No. PHY 48417 (California).

The current practice location address for Innovative Compounding Pharmacy is 820 Wales Dr, Folsom, CA and can be reached out via phone at 916-984-9222 and via fax at 916-458-8267.

Location: 820 Wales Dr, Folsom, CA, 95630-5546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083829170
Provider Name
Innovative Compounding Pharmacy
Credential
Provider Entity Type
Organization
Address
820 Wales Dr, Folsom, CA, 95630-5546
Phone Number
916-984-9222
Fax Number
916-458-8267
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 Wales Dr
City
Folsom
State
California
Zip
95630-5546
Phone Number
916-984-9222
Fax Number
916-458-8267
person
Provider Business Mailing Address Details
Address
820 Wales Dr
City
Folsom
State
California
Zip
95630-5546
Phone Number
916-984-9222
Fax Number
916-458-8267
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY 48417 (California)
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 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.
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