# MI ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST MONICA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184893117
- **Authorized official:** MARVEL JULY (PRES)
- **Authorized official phone:** (741) 527-6078

## Contact information

- **Practice address:** 8575 KNOTT AVE, STE D, BUENA PARK, CA 90620-3850
- **Practice address phone:** (714) 527-6078
- **Practice address fax:** (714) 527-7185
- **Mailing address:** 8575 KNOTT AVE, STE D, BUENA PARK, CA 90620-3850
- **Mailing address phone:** (714) 527-6078
- **Mailing address fax:** (714) 527-7185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY48675 | CA | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 09/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5630872 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |