OrganizationActive
Irvine Sand Canyon Pharmacy Inc
NPI 1609904119 · Compounding Pharmacy · Palm Desert, CA
Provider details
- NPI number
- 1609904119
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mort Farina, President(310) 880-2537
- License
- 99148 (CA)
Specialties & taxonomies
Suppliers
Practice location
72624 El Paseo
Suite A1
Palm Desert, CA 92260-3309
Phone: (760) 341-3984
Fax: (760) 341-4954
Approximate (ZIP-level) locationGet directions
Mailing address
8 Scarborough Way
Rancho Mirage, CA 92270-1624
Other names (DBA / former)
- Doing business as
- Town Center Compounding Pharmacy
Registry dates
- Enumerated
- 2007-02-28
- 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.