Grandpas Compounding Pharmacy
Restricted
Grandpas Compounding Pharmacy is subject to Restricted. See the individual lists below.
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Address
7563 Green Valley Road, Placerville, CA, 95667
ID Details
ID NUMBER : 1689715286
ID TYPE : provider_number
ID NUMBER : PHY 45878
ID TYPE : license_number
View Notes
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Grandpas Compounding Pharmacy Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The California Department of Health Care Services | Aug 31, 2017 | active |
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