Provider Demographics
NPI:1982013462
Name:MEDRX INFUSION CLINICAL PHARMACY, LLC
Entity Type:Organization
Organization Name:MEDRX INFUSION CLINICAL PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-671-2600
Mailing Address - Street 1:415 N OAK ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-3314
Mailing Address - Country:US
Mailing Address - Phone:310-671-2600
Mailing Address - Fax:
Practice Address - Street 1:417 N OAK ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-3314
Practice Address - Country:US
Practice Address - Phone:310-671-2600
Practice Address - Fax:310-671-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
No183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Multi-Specialty
No333600000XSuppliersPharmacyGroup - Multi-Specialty