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Heritage Compounding Pharmacy — NPI 1104964840, Brea, CA | NPI Central

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NPI 1104964840

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Heritage Compounding Pharmacy

NPI 1104964840 · Compounding Pharmacy · Brea, CA

Provider details

NPI number: 1104964840
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Esther Kim, Pharm. D.(714) 579-1636
License: PHY47098 (CA)

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004XLicense PHY47098 (CA)
Suppliers

Practice location

2903 Saturn St Ste a

Brea, CA 92821-6259

Phone: (714) 579-1636

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

2903 Saturn St Ste a

Brea, CA 92821-6259

Registry dates

Enumerated: 2007-02-02
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.