Organization · NPI-2
Innovrx Pharmacy Services, INC.
Pharmacy · Yorba Linda, CA
NPI number1770743007
StatusActive
Last updated in NPPESJun 10, 2008
Details
- NPI
- 1770743007
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovrx Pharmacy Services, INC.
- Organization subpart
- No
- Enumeration date
- Jun 10, 2008
- Last updated
- Jun 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | RPH50523 | CA | Yes |
Other names
- Med Specialties Compounding Pharmacy (Doing Business As)
Practice location
4862 Olinda StYorba Linda, CA 92886-3419
Phone 714-572-2272 · Fax 714-572-2277
Mailing address
4862 Olinda StYorba Linda, CA 92886-3419
Phone 714-572-2272 · Fax 714-572-2277
Authorized official
Mark Antonio Gonzalez
Chief Pharmacist
7145722272
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