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

Southern California Compounding Pharmacy

Organization Pharmacy · NPI 1669617734

Southern California Compounding Pharmacy is a Pharmacy in San Diego, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
5

Practice location Address checks out

11125 Flintkote Ave Ste F
San Diego, CA 92121-1213
Phone: (858) 622-1278
Fax: (858) 622-1283
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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 PHY49147 (CA)
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Mail Order Pharmacy Taxonomy 3336M0002X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1669617734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ollen Williams — Technician · (858) 622-1278
Other names Southern California Compounding Pharmacy
NPI enumeratedDecember 3, 2008
Last updated in NPPESOctober 23, 2015
Mailing address11125 Flintkote Ave Ste F, San Diego, CA 92121-1213

Other providers in San Diego