Provider Demographics
NPI:1821355942
Name:MEDICUX RX SOLUTIONS
Entity Type:Organization
Organization Name:MEDICUX RX SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-847-3322
Mailing Address - Street 1:8700 WARNER AVE SUITE 280
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708
Mailing Address - Country:US
Mailing Address - Phone:714-847-3322
Mailing Address - Fax:714-847-3993
Practice Address - Street 1:8700 WARNER AVE STE 280
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3212
Practice Address - Country:US
Practice Address - Phone:714-847-3322
Practice Address - Fax:714-847-3993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST COAST MEDICAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy