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Brian Fontaine Keys
Compounding Pharmacy in Riverside, California
NPI 1184736001

Brian Fontaine Keys is a Compounding Pharmacy based in Riverside, CA and is specialized in Compounding Pharmacy. Brian Fontaine Keys practices in Riverside, CA. The NPI Number for Brian Fontaine Keys is 1184736001 and holds a License No. (California).

The current practice location address for Brian Fontaine Keys is 4510 Brockton Ave Ste 107, Riverside, CA and can be reached out via phone at 951-683-1200 and via fax at 951-683-8078. You can also correspond with Brian Fontaine Keys through the mailing address at 4510 BROCKTON AVE STE 107, RIVERSIDE, CA - 92501-4020 (mailing address contact number: 951-683-1200).

Location: 4510 Brockton Ave Ste 107, Riverside, CA, 92501-4020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184736001
Provider Name
Brian Fontaine Keys
Credential
Provider Entity Type
Organization
Address
4510 Brockton Ave Ste 107, Riverside, CA, 92501-4020
Phone Number
951-683-1200
Fax Number
951-683-8078
Provider Enumeration Date
08/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2116108 01 PK
PHY22224 05 CA
institution
Provider Business Practice Location Address Details
Address
4510 Brockton Ave Ste 107
City
Riverside
State
California
Zip
92501-4020
Phone Number
951-683-1200
Fax Number
951-683-8078
person
Provider Business Mailing Address Details
Address
4510 Brockton Ave Ste 107
City
Riverside
State
California
Zip
92501-4020
Phone Number
951-683-1200
Fax Number
951-683-8078
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY22224 (California)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
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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