Provider Demographics
NPI:1558164426
Name:SARASOTA COMPOUNDING PHARMACY
Entity type:Organization
Organization Name:SARASOTA COMPOUNDING PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAMARZIFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-366-0880
Mailing Address - Street 1:2075 SIESTA DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5232
Mailing Address - Country:US
Mailing Address - Phone:941-366-0880
Mailing Address - Fax:941-366-4977
Practice Address - Street 1:2075 SIESTA DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5232
Practice Address - Country:US
Practice Address - Phone:941-366-0880
Practice Address - Fax:941-366-4977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy