Organization
MIX PHARMACY INC
Active
Other names
MIX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AKOP MARTIKYAN (CEO/SEC/CFO/DIR/PRESIDENT)
(818) 798-3833
Entity
Organization
Contact information
Practice address
6345 BALBOA BLVD STE 211, ENCINO, CA 91316-1517
(818) 798-3833
(818) 302-2500
Mailing address
6345 BALBOA BLVD STE 211, ENCINO, CA 91316-1517
(818) 798-3833
(818) 302-2500
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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