Triad Compounding Pharmacy
Pharmacist in Cerritos, CA. Organization (NPI-2).
NPI number1679865083
StatusActive
Last updated in NPPESMay 4, 2011
Details
- NPI
- 1679865083
- Entity type
- Organization (NPI-2)
- Legal business name
- Triad Compounding Pharmacy
- Organization subpart
- No
- Enumeration date
- May 4, 2011
- Last updated
- May 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 29677 | CA | Yes |
Practice location
11090 Artesia BlvdSuite H
Cerritos, CA 90703-2545
Phone 562-468-4311 · Fax 562-468-4314
Mailing address
11090 Artesia BlvdSuite H
Cerritos, CA 90703-2545
Phone 562-468-4311 · Fax 562-468-4314
Authorized official
Ronald S. Miller
Manager
5624684311
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