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NORTHBAY FAMILY COMPOUNDING PHARMACY LLC NPI 1942511399


NPI Information

NPI: 1942511399
Provider Name: NORTHBAY FAMILY COMPOUNDING PHARMACY LLC

Doing Business As: NORTHBAY FAMILY COMPOUNDING PHARMACY LLC

Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

Address:
690 E TABOR AVE
SUITE H
FAIRFIELD, CA
ZIP 94533
Phone: (707) 421-1117
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NORTHBAY FAMILY COMPOUNDING PHARMACY LLC is a compounding pharmacy pharmacy in Fairfield, 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. NORTHBAY FAMILY COMPOUNDING PHARMACY LLC NPI is 1942511399. The provider is registered as an organization entity type.
The provider Is Doing Business As Northbay Family Compounding Pharmacy Llc.

The provider's business location address is:

690 E TABOR AVE
SUITE H
FAIRFIELD, CA
ZIP 94533-079
Phone: (707) 421-1117
Fax: (707) 421-1118

The provider's authorized official is Helen Dangtran .
The authorized official title is Co-owner/pharmacist In Charge and has the following contact phone number (707) 421-1117.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 6/30/2010.


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
23336S0011XPharmacySpecialty PharmacyNo
33336C0004XPharmacyCompounding PharmacyPHY50251CALIFORNIAYes

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
15638222OTHERNCPDP 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: 11/14/2023

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