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Irvine Sand Canyon Pharmacy Inc
Compounding Pharmacy in Palm Desert, California
NPI 1609904119

Irvine Sand Canyon Pharmacy Inc is a Compounding Pharmacy based in Rancho Mirage, CA and is specialized in Compounding Pharmacy. Irvine Sand Canyon Pharmacy Inc practices in Palm Desert, CA. The NPI Number for Irvine Sand Canyon Pharmacy Inc is 1609904119 and holds a License No. 99148 (California).

The current practice location address for Irvine Sand Canyon Pharmacy Inc is 72624 El Paseo, Palm Desert, CA and can be reached out via phone at 760-341-3984 and via fax at 760-341-4954.

Location: 72624 El Paseo, Palm Desert, CA, 92270-1624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609904119
Provider Name
Irvine Sand Canyon Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
72624 El Paseo, Palm Desert, CA, 92270-1624
Phone Number
760-341-3984
Fax Number
760-341-4954
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44047 01 CA PHARMACY LICENSE
institution
Provider Business Practice Location Address Details
Address
72624 El Paseo
City
Palm Desert
State
California
Zip
92260-3309
Phone Number
760-341-3984
Fax Number
760-341-4954
person
Provider Business Mailing Address Details
Address
72624 El Paseo
City
Palm Desert
State
California
Zip
92260-3309
Phone Number
760-341-3984
Fax Number
760-341-4954
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
99148 (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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