Organization
RX ADVISORS INC
Active
Other names
MixMed Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TONY MINH TA RPH (PIC)
(559) 298-0600
Entity
Organization
Contact information
Practice address
2101 HERNDON AVE, CLOVIS, CA 93611-6300
(559) 298-0600
(559) 325-2226
Mailing address
2101 HERNDON AVE, CLOVIS, CA 93611-6300
(559) 298-0600
(559) 325-2226
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
50969
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY55976
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5644441
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/25/2012
Last updated
02/08/2022
Update your record
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