Organization
MISHNIK PHARMACY SERVICES INC
Active
Other names
GOLDEN LIFE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMGAD MASIH PHARM-D (PRESIDENT)
(805) 416-8700
Entity
Organization
Contact information
Practice address
1960 SEQUOIA AVE STE 5, SIMI VALLEY, CA 93063-3176
(805) 416-8700
(805) 416-8902
Mailing address
1960 SEQUOIA AVE STE 5, SIMI VALLEY, CA 93063-3176
(805) 416-8700
(805) 416-8902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY48911
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004406
PK
—
05
—
9972740
—
CA
Enumeration date
11/21/2005
Last updated
07/19/2018
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