<Unavail>

LBN: Innovative Rx Inc
<Unavail> is an health care organization with primary practice located at 275 Victoria St Ste 1F, Costa Mesa CA 92627-1906. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Innovative Rx Inc can be contacted via phone (949) 642-0106, or through Shan, Mayank via phone (949) 642-0106.

Contact Information

Primary practice address
275 Victoria St Ste 1F Costa Mesa CA 92627-1906
Phone: (949) 642-0106
Fax: (949) 642-5039
Website:
Map and Directions
Authorized official contact:
Name: Shan, Mayank
Phone: (949) 642-0106

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PHY48847 California

Profile Details

NPI number 1063524056
LBN Legal business name Innovative Rx Inc
DBA Doing business as <Unavail>
Authorized official Shan, Mayank
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063524056 NPPES
Other 0525468 NCPDP PROVIDER IDENTIFICATION NUMBER

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