Organization
MEDRX INC
Active
Other names
MEDRX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRY NAYGAS (MANAGER/SECRETARY)
(818) 343-3443
Entity
Organization
Contact information
Practice address
18356 OXNARD ST, STE 1, TARZANA, CA 91356-1555
(818) 343-3443
(818) 343-0933
Mailing address
18356 OXNARD ST, STE 1, TARZANA, CA 91356-1555
(818) 343-3443
(818) 343-0933
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY 49209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5616416
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA 471890
—
CA
Enumeration date
10/31/2006
Last updated
10/08/2008
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