Grandpas Compounding Pharmacy
LBN: Grandpas Compounding Pharmacy Inc
Grandpas Compounding Pharmacy is an health care organization with primary practice located at 7563 Green Valley Rd , Placerville CA 95667-3917. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Grandpas Compounding Pharmacy Inc can be contacted via phone (530) 622-2323, or through Wills, Dan via phone (530) 622-2323.
Contact Information
Primary practice address
7563 Green Valley Rd
Placerville CA 95667-3917
Phone: (530) 622-2323
Fax: (530) 622-2011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY045878 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1689715286 |
|---|---|
| LBN Legal business name | Grandpas Compounding Pharmacy Inc |
| DBA Doing business as | Grandpas Compounding Pharmacy |
| Authorized official | Wills, Dan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Nov 23rd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689715286 | NPPES |
| Other | 2155454 | PK |
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