# MIX PHARMACY INC

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

## Provider details

- **NPI number:** 1265011027
- **Authorized official:** AKOP MARTIKYAN (CEO/SEC/CFO/DIR/PRESIDENT)
- **Authorized official phone:** (818) 798-3833

## Contact information

- **Practice address:** 6345 BALBOA BLVD STE 211, ENCINO, CA 91316-1517
- **Practice address phone:** (818) 798-3833
- **Practice address fax:** (818) 302-2500
- **Mailing address:** 6345 BALBOA BLVD STE 211, ENCINO, CA 91316-1517
- **Mailing address phone:** (818) 798-3833
- **Mailing address fax:** (818) 302-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/07/2021
- **Last updated:** 04/07/2021