| NPI | 1033155403 |
|---|---|
| Doing Business As | TRIAD COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RONALD MILLER President Pharmacist 562-468-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY41551) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-12-13 |