Innovative Rx INC
NPI #1063524056 in Costa Mesa, California
Provider Information
- NPI Number
- 1063524056
- Entity Type
- Organization
- Organization Name
- Innovative Rx INC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Oct 1, 2009
Practice Location
- Address
- 275 VICTORIA ST
- Address 2
- STE 1F
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92627-1906
- Phone
- (949) 642-0106
Authorized Official
- Name
- MAYANK SHAN
- Title
- PRESIDENT
- Phone
- (949) 642-0106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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