National Provider Identifier Database

PARK COMPOUNDING INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

PARK COMPOUNDING, INC.
9257 RESEARCH DR
IRVINE, CA92618
Phone: 844-446-6979
Fax: 949-551-1950
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PARK COMPOUNDING, INC.

NPI Number 1114061132
Legal business name
LBN
PARK COMPOUNDING, INC.
Authorized official ANDREW BOLL - (SECRETARY & CFO)
Entity Organization
Organization subpart No
Enumeration date 02/16/2007
Last updated 10/01/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY53360
  • CA Other: 0522967 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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