Heritage Compounding Pharmacy

NPI #1093183303 in Brea, California

Provider Information

NPI Number: 1093183303
Entity Type: Organization
Organization Name: Heritage Compounding Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Sep 3, 2015
Last Updated: Sep 3, 2015

Practice Location

Address: 2903 SATURN ST STE A
City: Brea
State: California
ZIP Code: 92821-6259
Phone: (714) 579-1636

Authorized Official

Name: DR. SYLVIA A MOORE, PHARM.D.
Title: PHARMACIST IN CHARGE
Phone: (714) 579-1636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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