Organization
HEALTHRX PHARMACY INC.
Active
Other names
HEALTHRX SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAI PHUONG THAI PHARMD (PRESIDENT)
(626) 335-4777
Entity
Organization
Contact information
Practice address
1844 E ROUTE 66, GLENDORA, CA 91740-3868
(626) 335-4777
(626) 335-4774
Mailing address
1844 E ROUTE 66, GLENDORA, CA 91740-3868
(626) 335-4777
(626) 335-4774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51784
CA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143780
PK
—
Enumeration date
01/10/2014
Last updated
05/02/2014
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