| NPI | 1669935177 |
|---|---|
| Doing Business As | CREATIVE COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JASON TRAN CEO 714-420-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |