Custom Care Compounding

LBN: Alcosta Pharmacy Associates Inc
Custom Care Compounding is an health care organization with primary practice located at 124 Market Pl , San Ramon CA 94583-4740. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Alcosta Pharmacy Associates Inc can be contacted via phone (925) 830-4631, or through Clauser, Mary Kay via phone (925) 830-0581.

Contact Information

Primary practice address
124 Market Pl San Ramon CA 94583-4740
Phone: (925) 830-4631
Fax: (925) 830-0125
Website:
Map and Directions
Authorized official contact:
Name: Clauser, Mary Kay
Phone: (925) 830-0581

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X PHY41451 California

Profile Details

NPI number 1245241827
LBN Legal business name Alcosta Pharmacy Associates Inc
DBA Doing business as Custom Care Compounding
Authorized official Clauser, Mary Kay
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245241827 NPPES
California MEDICAID PHA414510
California Other 2036044

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