Palisades Compounding Pharmacy

LBN: Palisades Compounding Pharmacy Inc
Palisades Compounding Pharmacy is an health care organization with primary practice located at 540 Palisades Dr , Pacific Palisades CA 90272-2844. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Palisades Compounding Pharmacy Inc can be contacted via phone (310) 454-4848, or through Soroudi, Shahram via phone (310) 777-2000.

Contact Information

Primary practice address
540 Palisades Dr Pacific Palisades CA 90272-2844
Phone: (310) 454-4848
Fax: (310) 454-3838
Website:
Map and Directions
Authorized official contact:
Name: Soroudi, Shahram
Phone: (310) 777-2000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 48986 California

Profile Details

NPI number 1871764134
LBN Legal business name Palisades Compounding Pharmacy Inc
DBA Doing business as Palisades Compounding Pharmacy
Authorized official Soroudi, Shahram
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2008
Last updated Nov 25th, 2014 - about 12 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 1871764134 NPPES
Other 2113288 PK

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