Organization Name: | NORTHBAY FAMILY COMPOUNDING PHARMACY LLC |
NPI Number: | 1942511399 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HELEN DANGTRAN (CO-OWNER/PHARMACIST IN CHARGE) |
Mailing Address: | 690 E Tabor Ave Suite H Fairfield |
State: | CA US |
Postal Code: | 945334079 |
Phone Number: | 7074211117 |
Fax Number: | 7074211118 |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |