Provider Demographics
NPI:1861043069
Name:MED RX INC
Entity Type:Organization
Organization Name:MED RX INC
Other - Org Name:TOWER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARSEGHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-848-0220
Mailing Address - Street 1:350 S GLENOAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1318
Mailing Address - Country:US
Mailing Address - Phone:818-848-0220
Mailing Address - Fax:818-848-0221
Practice Address - Street 1:350 S GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1318
Practice Address - Country:US
Practice Address - Phone:818-848-0220
Practice Address - Fax:818-848-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-28
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58733OtherBOARD OF PHARMACY