Organization
INNOVRX PHARMACY SERVICES, INC.
Active
Other names
Med Specialties Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTONIO GONZALEZ PHARM. D. (CHIEF PHARMACIST)
(714) 572-2272
Entity
Organization
Contact information
Practice address
4862 OLINDA ST, YORBA LINDA, CA 92886-3419
(714) 572-2272
(714) 572-2277
Mailing address
4862 OLINDA ST, YORBA LINDA, CA 92886-3419
(714) 572-2272
(714) 572-2277
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH50523
CA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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