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De Vera Inc
Compounding Pharmacy in Woodland Hills, California
NPI 1306177704

De Vera Inc is a Compounding Pharmacy based in Woodland Hills, CA and is specialized in Compounding Pharmacy. De Vera Inc practices in Woodland Hills, CA. The NPI Number for De Vera Inc is 1306177704 and holds a License No. PHY50194 (California).

The current practice location address for De Vera Inc is 21250 Califa St Ste 109, Woodland Hills, CA and can be reached out via phone at 818-610-1229 and via fax at 818-715-9710.

Location: 21250 Califa St Ste 109, Woodland Hills, CA, 91367-5001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306177704
Provider Name
De Vera Inc
Credential
Provider Entity Type
Organization
Address
21250 Califa St Ste 109, Woodland Hills, CA, 91367-5001
Phone Number
818-610-1229
Fax Number
818-715-9710
Provider Enumeration Date
01/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHY 50194 01 CA STATE BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
21250 Califa St Ste 109
City
Woodland Hills
State
California
Zip
91367-5031
Phone Number
818-610-1229
Fax Number
818-715-9710
person
Provider Business Mailing Address Details
Address
21250 Califa St Ste 109
City
Woodland Hills
State
California
Zip
91367-5031
Phone Number
818-610-1229
Fax Number
818-715-9710
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY50194 (California)
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
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY50194 (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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