Organization Name: | COMPOUNDING INC |
NPI Number: | 1053485573 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE ZARKESH (PRESIDENT) |
Mailing Address: | 18250 Roscoe Blvd Ste 104 Northridge |
State: | CA US |
Postal Code: | 913254226 |
Phone Number: | 8188858191 |
Fax Number: | 8188851008 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336M0003X |
License Number: | PHY43998 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Managed Care Organization Pharmacy |
Taxonomy Definition: | A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO |