Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

San Diego Compounding Pharmacy a Prof Corp

Organization Pharmacy · NPI 1508877002

San Diego Compounding Pharmacy a Prof Corp is a Pharmacy in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5395 Ruffin Rd Ste 104
San Diego, CA 92123-1338
Phone: (858) 277-8884
Fax: (858) 277-8889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY47015 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1508877002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Greene — Owner · (858) 277-8884
Other names San Diego Compounding Pharmacy
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2016
Mailing address5395 Ruffin Rd Ste 104, San Diego, CA 92123-1338

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