OrganizationActive
Innovative Compounding Pharmacy
NPI 1083829170 · Compounding Pharmacy · Folsom, CA
Provider details
- NPI number
- 1083829170
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Anna Rashidi, Ownerpharmacist(916) 984-9222
- License
- PHY 48417 (CA)
Specialties & taxonomies
Suppliers
Practice location
820 Wales Dr
Suite 3
Folsom, CA 95630-5546
Phone: (916) 984-9222
Fax: (916) 458-8267
Approximate (ZIP-level) locationGet directions
Mailing address
820 Wales Dr
Folsom, CA 95630-5546
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2007-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.