| NPI | 1760493316 |
|---|---|
| Doing Business As | ADVANCED COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH KOHAN CFO 310-922-0272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY48591) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-03-08 |