| NPI | 1043489107 |
|---|---|
| Doing Business As | PARK COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN CHEN PIC 805-497-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY54304) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2018-07-19 |