Provider Demographics
NPI:1821345711
Name:R&X COMPOUNDING PHARMACY INC
Entity Type:Organization
Organization Name:R&X COMPOUNDING PHARMACY INC
Other - Org Name:MEDIPLUS PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:YOUNG SOOK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:213-864-9089
Mailing Address - Street 1:3680 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2707
Mailing Address - Country:US
Mailing Address - Phone:213-383-0809
Mailing Address - Fax:213-383-0808
Practice Address - Street 1:3680 WILSHIRE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2707
Practice Address - Country:US
Practice Address - Phone:213-383-0809
Practice Address - Fax:213-383-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY507763336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy