Provider Demographics
NPI:1275960221
Name:BIONIX PHARMACY, INC
Entity Type:Organization
Organization Name:BIONIX PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-535-8752
Mailing Address - Street 1:6862 HAYVENHURST AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4717
Mailing Address - Country:US
Mailing Address - Phone:866-535-8752
Mailing Address - Fax:866-535-8752
Practice Address - Street 1:6862 HAYVENHURST AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-4717
Practice Address - Country:US
Practice Address - Phone:866-535-8752
Practice Address - Fax:866-535-8752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-07
Last Update Date:2013-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy