National Provider Identifier Database

ONESOURCE COMPOUNDING PHARMACY
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

ONESOURCE COMPOUNDING PHARMACY
104 WHISPERING PINES DR STE 105
SCOTTS VALLEY, CA95066
Phone: 831-535-6864
Fax:
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X

* Indicates primary specialty

NPI Profile & details for ONESOURCE COMPOUNDING PHARMACY

NPI Number 1770010068
Legal business name
LBN
ONESOURCE COMPOUNDING PHARMACY
Authorized official SESYLIA ASTOR - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 05/17/2017
Last updated 03/05/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: PHY 55294

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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