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General NPI Number Information
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NPI Number | 1043128671
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Entity Type | Organization
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Legal Business Name | CAMPANELLA COMPOUNDING PHARMACY INC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 6500 FAIRMOUNT AVE STE 2B
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City | EL CERRITO
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State | CA
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Zip | 94530-3623
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Country | US
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Telephone | 510-722-0407
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Fax | 510-722-0419
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Provider Business Mailing Address
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Address Line | 6500 FAIRMOUNT AVE STE 2B
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City | EL CERRITO
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State | CA
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Zip | 94530-3623
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Country | US
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Telephone | 510-722-0407
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Fax | 510-722-0419
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Authorized Official
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Title or Position | OWNER
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Name | BRYAN MITCHEL HUNT
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Credential | PHARMD
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Telephone | 714-222-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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