Speciality Compounding Pharmacy

LBN: Custom Made Pharmacy Inc
Speciality Compounding Pharmacy is an health care organization with primary practice located at 13322 Riverside Dr , Sherman Oaks CA 91423-2509. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Custom Made Pharmacy Inc can be contacted via phone (818) 789-8111, or through Kohanjash, David via phone (818) 308-8314.

Contact Information

Primary practice address
13322 Riverside Dr Sherman Oaks CA 91423-2509
Phone: (818) 789-8111
Fax: (818) 789-6548
Website:
Map and Directions
Authorized official contact:
Name: Kohanjash, David
Phone: (818) 308-8314

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 48534 California

Profile Details

NPI number 1932231560
LBN Legal business name Custom Made Pharmacy Inc
DBA Doing business as Speciality Compounding Pharmacy
Authorized official Kohanjash, David
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Feb 11th, 2009 - about 17 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 1932231560 NPPES
Other 5626289 NCPDP PROVIDER IDENTIFICATION NUMBER

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