Last Updated:  12/22/2024 5:22:09 AM

Pharmacy Detail                               

Corporation / Company Owner Name

SOUTH COAST SPECIALTY COMPOUNDING, INC. 

Business (DBA) Name  

PARK COMPOUNDING 

License Number 

99-5968 

Type of Pharmacy

Non-Resident 

Address

9257 RESEARCH DRIVE

City, State, Zip 

IRVINE, CA  92618

Country 

 

Issue Date 

05/23/2012 

Renewed Date

04/28/2014

Expiration Date 

05/31/2015 

End Date 

02/19/2015 

Replacing

Replaced By

99-7174

Drug Supplier

No 

Sterile Compounding

No 

Training Area

No 

Unused Drug Dispensing

No 

LTC Emergency Kit

No

Pharmacist-In-Charge

NADIA M. IBRAHIM - 0

Status

CLOSED 

In Process?

 

Disciplinary Action
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Case Date  

Case Number  

No Disciplinary Action 

 

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