institution
Custom Compounding Centers Llc
Compounding Pharmacy in Los Alamitos, California
NPI 1902128911

Custom Compounding Centers Llc is a Compounding Pharmacy based in Los Alamitos, CA and is specialized in Compounding Pharmacy. Custom Compounding Centers Llc practices in Los Alamitos, CA. The NPI Number for Custom Compounding Centers Llc is 1902128911 and holds a License No. (California).

The current practice location address for Custom Compounding Centers Llc is 10525 Humbolt St, Los Alamitos, CA and can be reached out via phone at 714-894-2120 and via fax at 714-894-2150.

Location: 10525 Humbolt St, Los Alamitos, CA, 90720-5401
institution
Provider Profile Details
NPI Number
1902128911
Provider Name
Custom Compounding Centers Llc
Credential
Provider Entity Type
Organization
Address
10525 Humbolt St, Los Alamitos, CA, 90720-5401
Phone Number
714-894-2120
Fax Number
714-894-2150
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0590388 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
10525 Humbolt St
City
State
Zip
90720-5401
Phone Number
714-894-2120
Fax Number
714-894-2150
person
Provider Business Mailing Address Details
Address
10525 Humbolt St
City
State
Zip
90720-5401
Phone Number
714-894-2120
Fax Number
714-894-2150
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
PHY 50368 (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
Community/Retail Pharmacy
Taxonomy
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
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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