Provider Demographics
NPI:1164158333
Name:MY RX PHARMA INC
Entity Type:Organization
Organization Name:MY RX PHARMA INC
Other - Org Name:MYRX PHARMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-860-4122
Mailing Address - Street 1:12801 VICTORY BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3012
Mailing Address - Country:US
Mailing Address - Phone:818-860-4122
Mailing Address - Fax:818-860-4118
Practice Address - Street 1:12801 VICTORY BLVD UNIT B
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3012
Practice Address - Country:US
Practice Address - Phone:818-860-4122
Practice Address - Fax:818-860-4118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-28
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58808OtherBOARD OF PHARMACY