Dara Abacan, PHARMD
Individual provider Active NPI Compounded Sterile Preparations Pharmacist · Inglewood, CA
NPI 1639954902 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1639954902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Compounded Sterile Preparations Pharmacist 1835C0207X
- License
- 63538 (CA)
- Practice address
- 415 N Oak St
Inglewood, CA 90302-3314 - Phone
- (310) 671-2600
- Fax
- (310) 671-2601
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63538 | CA | MD | Medical license number |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medrx Infusion Clinical Pharmacy, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 63538 | CA | Yes |
Addresses
Primary practice location
415 N Oak St
Inglewood, CA 90302-3314
Mailing address
4752 Amberwood Ave
La Palma, CA 90623-1909
Phone (562) 841-8284
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All providers in Inglewood, CA · Compounded Sterile Preparations Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.