Healthcare Provider Details

I. General information

NPI: 1013893593
Provider Name (Legal Business Name): PRECISION COMPOUNDING PHARMACY & WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N HOLLYWOOD WAY STE 103
BURBANK CA
91505-1026
US

IV. Provider business mailing address

3000 N HOLLYWOOD WAY STE 103
BURBANK CA
91505-1026
US

V. Phone/Fax

Practice location:
  • Phone: 855-277-9610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN STELLA
Title or Position: CEO
Credential:
Phone: 516-833-6262