Provider Demographics
NPI:1912149543
Name:ARROW-MED RX INC
Entity type:Organization
Organization Name:ARROW-MED RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-836-0007
Mailing Address - Street 1:5233 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-3144
Mailing Address - Country:US
Mailing Address - Phone:323-836-0007
Mailing Address - Fax:323-962-3404
Practice Address - Street 1:5233 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-3144
Practice Address - Country:US
Practice Address - Phone:323-836-0007
Practice Address - Fax:323-962-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY50759333600000X
CAPHY 507593336S0011X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA56-34111OtherNCPDP
CAPHY50759OtherCALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
CA1912149543OtherMEDICAL PROVIDER NUMBER
CA1912149543OtherMEDICAL PROVIDER NUMBER