Provider Demographics
NPI:1033594015
Name:FEEL GOOD COMPOUNDERS
Entity Type:Organization
Organization Name:FEEL GOOD COMPOUNDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-898-8221
Mailing Address - Street 1:411 DONDEE ST STE C
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3278
Mailing Address - Country:US
Mailing Address - Phone:650-898-8221
Mailing Address - Fax:650-898-8147
Practice Address - Street 1:411 DONDEE ST STE C
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3278
Practice Address - Country:US
Practice Address - Phone:650-898-8221
Practice Address - Fax:650-898-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY524953336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy