Organization
GALENIX PHARMACY INC
Active
Other names
MEDSRX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYAM ROSHANKAR RPH (PRESIDENT/PIC)
(949) 713-1010
Entity
Organization
Contact information
Practice address
29851 AVETURA, STE J-1, RANCHO SANTA MARGARITA, CA 92688
(949) 713-1010
(949) 713-1012
Mailing address
29851 AVETURA, STE J-1, RANCHO SANTA MARGARITA, CA 92688
(949) 713-1010
(949) 713-1012
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50304
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50304
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 50304
RETAIL PHARMACY PERMIT
CA
Enumeration date
06/15/2010
Last updated
02/16/2012
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