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MEDICINAL COMPOUNDING PHARMACY INCORPORATED

Medical Equipment Supplier Yellow Pages

Diamond Bar, California

Provider NPI: 1376617803

Organization Information:
Organization Name:  MEDICINAL COMPOUNDING PHARMACY INCORPORATED


Practice Location:
315 S DIAMOND BAR BLVD STE D  DIAMOND BAR, CA 91765 US
Tel: 909-861-6900  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
CA55711

Other Provider Identifiers:

IssuerNumberStateType
PK211349501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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