Provider Demographics
NPI:1760922942
Name:RX 911 PHARMACY INC
Entity Type:Organization
Organization Name:RX 911 PHARMACY INC
Other - Org Name:RX 911 PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEK
Authorized Official - Middle Name:
Authorized Official - Last Name:TOROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-945-5974
Mailing Address - Street 1:721 E BROADWAY STE B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4953
Mailing Address - Country:US
Mailing Address - Phone:818-945-5974
Mailing Address - Fax:818-696-1428
Practice Address - Street 1:721 E BROADWAY STE B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4953
Practice Address - Country:US
Practice Address - Phone:818-945-5974
Practice Address - Fax:818-696-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55412333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2168155OtherPK