| NPI | 1912086695 |
|---|---|
| Doing Business As | PACIFIC COMPUNDING PHARMACY AND CONSULTATIONS |
| Entity Type | Organization |
| Authorized Contact | MARIE COTTMAN President 209-474-7271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY47493) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-01-23 |