Triad Compounding Pharmacy

NPI #1679865083 in Cerritos, California

Provider Information

NPI Number: 1679865083
Entity Type: Organization
Organization Name: Triad Compounding Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 11090 ARTESIA BLVD
Address 2: SUITE H
City: Cerritos
State: California
ZIP Code: 90703-2545
Phone: (562) 468-4311

Authorized Official

Name: RONALD S. MILLER, PHARM.D.
Title: MANAGER
Phone: (562) 468-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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