Provider Demographics
NPI:1770352114
Name:MEDEX PHARMACIES CORP
Entity type:Organization
Organization Name:MEDEX PHARMACIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KESHISHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-925-1321
Mailing Address - Street 1:8441 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2811
Mailing Address - Country:US
Mailing Address - Phone:818-925-1321
Mailing Address - Fax:818-446-2241
Practice Address - Street 1:8441 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2811
Practice Address - Country:US
Practice Address - Phone:818-925-1321
Practice Address - Fax:818-446-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy