La Vita Compounding Pharmacy
LBN: La Vita Compounding Pharmacy Llc
La Vita Compounding Pharmacy is an health care organization with primary practice located at 11468 Sorrento Valley Rd Ste C , San Diego CA 92121-1347. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty.
La Vita Compounding Pharmacy Llc can be contacted via phone (858) 453-2500, or through Givant, Christine via phone (858) 453-2500.
Contact Information
Primary practice address
11468 Sorrento Valley Rd Ste C
San Diego CA 92121-1347
Phone: (858) 453-2500
Fax: (858) 453-2501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | 48731 | California |
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1891982096 |
|---|---|
| LBN Legal business name | La Vita Compounding Pharmacy Llc |
| DBA Doing business as | La Vita Compounding Pharmacy |
| Authorized official | Givant, Christine RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Nov 15th, 2022 - about 4 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 | 1891982096 | NPPES |
| Other | 5628308 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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