Provider Demographics
NPI:1932628906
Name:MY RX PHARMACY INC
Entity Type:Organization
Organization Name:MY RX PHARMACY INC
Other - Org Name:MY RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIGRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-747-2010
Mailing Address - Street 1:12506 VANOWEN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-5320
Mailing Address - Country:US
Mailing Address - Phone:818-747-2010
Mailing Address - Fax:818-747-2057
Practice Address - Street 1:12506 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-5320
Practice Address - Country:US
Practice Address - Phone:818-747-2010
Practice Address - Fax:818-747-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA557133336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy