| NPI | 1144588468 |
|---|---|
| Doing Business As | COMPOUNDIA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BETTY VISO Owner 855-371-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 50901) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2016-07-01 |