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ALCOSTA PHARMACY ASSOCIATES INC NPI 1245241827


NPI Information

NPI: 1245241827
Provider Name: ALCOSTA PHARMACY ASSOCIATES INC

Doing Business As: CUSTOM CARE COMPOUNDING

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
124 MARKET PL
SAN RAMON, CA
ZIP 94583
Phone: (925) 830-4631
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ALCOSTA PHARMACY ASSOCIATES INC is a compounding pharmacy pharmacy in San Ramon, CA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. ALCOSTA PHARMACY ASSOCIATES INC NPI is 1245241827. The provider is registered as an organization entity type.
The provider Is Doing Business As Custom Care Compounding.

The provider's business location address is:

124 MARKET PL
SAN RAMON, CA
ZIP 94583-740
Phone: (925) 830-4631
Fax: (925) 830-0125

The provider's authorized official is Mary Kay Clauser .
The authorized official title is Treasuer and has the following contact phone number (925) 830-0581.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyPHY41451CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA414510MEDICAIDCALIFORNIA
22036044OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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