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LA VITA COMPOUNDING PHARMACY LLC NPI 1891982096


NPI Information

NPI: 1891982096
Provider Name: LA VITA COMPOUNDING PHARMACY LLC

Doing Business As: LA VITA COMPOUNDING PHARMACY

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
11468 SORRENTO VALLEY RD STE C
SAN DIEGO, CA
ZIP 92121
Phone: (858) 453-2500
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LA VITA COMPOUNDING PHARMACY LLC is a compounding pharmacy pharmacy in San Diego, 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. LA VITA COMPOUNDING PHARMACY LLC NPI is 1891982096. The provider is registered as an organization entity type.
The provider Is Doing Business As La Vita Compounding Pharmacy.

The provider's business location address is:

11468 SORRENTO VALLEY RD STE C
SAN DIEGO, CA
ZIP 92121-347
Phone: (858) 453-2500
Fax: (858) 453-2501

The provider's authorized official is Christine Givant .
The authorized official title is Owner and has the following contact phone number (858) 453-2500.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 11/15/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336M0002XPharmacyMail Order PharmacyNo
33336C0004XPharmacyCompounding Pharmacy48731CALIFORNIAYes

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
15628308OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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