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Southern California Compounding Pharmacy
Specialty Pharmacy in San Diego, California
NPI 1669617734

Southern California Compounding Pharmacy is a Specialty Pharmacy based in San Diego, CA and is specialized in Specialty Pharmacy. Southern California Compounding Pharmacy practices in San Diego, CA. The NPI Number for Southern California Compounding Pharmacy is 1669617734 and holds a License No. (California).

The current practice location address for Southern California Compounding Pharmacy is 11125 Flintkote Ave Ste F, San Diego, CA and can be reached out via phone at 858-622-1278 and via fax at 858-622-1283.

Location: 11125 Flintkote Ave Ste F, San Diego, CA, 92121-1213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669617734
Provider Name
Southern California Compounding Pharmacy
Credential
Provider Entity Type
Organization
Address
11125 Flintkote Ave Ste F, San Diego, CA, 92121-1213
Phone Number
858-622-1278
Fax Number
858-622-1283
Provider Enumeration Date
12/03/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2117954 01 PK
institution
Provider Business Practice Location Address Details
Address
11125 Flintkote Ave Ste F
City
San Diego
State
California
Zip
92121-1213
Phone Number
858-622-1278
Fax Number
858-622-1283
person
Provider Business Mailing Address Details
Address
11125 Flintkote Ave Ste F
City
San Diego
State
California
Zip
92121-1213
Phone Number
858-622-1278
Fax Number
858-622-1283
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.
()
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.
PHY49147 (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.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Mail Order Pharmacy
Taxonomy
3336M0002X
License No.
()
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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