Healthcare Provider Details

I. General information

NPI: 1043128671
Provider Name (Legal Business Name): CAMPANELLA COMPOUNDING PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 FAIRMOUNT AVE STE 2B
EL CERRITO CA
94530-3623
US

IV. Provider business mailing address

6500 FAIRMOUNT AVE STE 2B
EL CERRITO CA
94530-3623
US

V. Phone/Fax

Practice location:
  • Phone: 510-722-0407
  • Fax: 510-722-0419
Mailing address:
  • Phone: 510-722-0407
  • Fax: 510-722-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRYAN MITCHEL HUNT
Title or Position: OWNER
Credential: PHARMD
Phone: 714-222-3600