Innovative Compounding Pharmacy
Innovative Compounding Pharmacy is a Compounding Pharmacy in Folsom, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
820 Wales Dr Ste 3Folsom, CA 95630-5546
Phone: (916) 984-9222
Fax: (916) 458-8267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Compounding Pharmacy (primary) | Taxonomy 3336C0004X · Licence PHY 48417 (CA) |
|---|
Record details
| NPI number | 1083829170 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anna Rashidi — Ownerpharmacist · (916) 984-9222 |
| NPI enumerated | May 11, 2007 |
| Last updated in NPPES | August 3, 2007 |
| Mailing address | 820 Wales Dr, Suite 3, Folsom, CA 95630-5546 |