Provider Demographics
NPI:1295053874
Name:MCGUFF COMPOUNDING PHARMACY SERVICES, INC.
Entity type:Organization
Organization Name:MCGUFF COMPOUNDING PHARMACY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:714-545-2491
Mailing Address - Street 1:2921 W MACARTHUR BLVD
Mailing Address - Street 2:SUITE 142
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6909
Mailing Address - Country:US
Mailing Address - Phone:714-438-0536
Mailing Address - Fax:877-444-1155
Practice Address - Street 1:2921 W MACARTHUR BLVD
Practice Address - Street 2:SUITE 142
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6909
Practice Address - Country:US
Practice Address - Phone:714-438-0536
Practice Address - Fax:877-444-1155
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCGUFF COMPANY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY439503336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy