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Ionia Pharmacy, Llc
Compounding Pharmacy in Tustin, California
NPI 1912266172

Ionia Pharmacy, Llc is a Compounding Pharmacy based in Brentwood, CA and is specialized in Compounding Pharmacy. Ionia Pharmacy, Llc practices in Tustin, CA. The NPI Number for Ionia Pharmacy, Llc is 1912266172 and holds a License No. PHY50802 (California).

The current practice location address for Ionia Pharmacy, Llc is 15421 Red Hill Ave, Tustin, CA and can be reached out via phone at 714-408-7628 and via fax at 855-884-6642.

Location: 15421 Red Hill Ave, Tustin, CA, 37027-3706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912266172
Provider Name
Ionia Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
15421 Red Hill Ave, Tustin, CA, 37027-3706
Phone Number
714-408-7628
Fax Number
855-884-6642
Provider Enumeration Date
05/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5643728 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
15421 Red Hill Ave
City
Tustin
State
California
Zip
92780-7309
Phone Number
714-408-7628
Fax Number
855-884-6642
person
Provider Business Mailing Address Details
Address
15421 Red Hill Ave
City
Tustin
State
California
Zip
92780-7309
Phone Number
714-408-7628
Fax Number
855-884-6642
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY50802 (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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