Access Myrx Pharmacy, Llc

LBN: Access Myrx Pharmacy Llc
Access Myrx Pharmacy, Llc is an health care organization with primary practice located at 9632 Emerald Oak Dr Ste G , Elk Grove CA 95624-2258. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Access Myrx Pharmacy Llc can be contacted via phone (916) 509-9834, or through Ly, David via phone (916) 509-9834.

Contact Information

Primary practice address
9632 Emerald Oak Dr Ste G Elk Grove CA 95624-2258
Fax: (916) 627-1089
Website:
Authorized official contact:
Name: Ly, David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 55456 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1639616600
LBN Legal business name Access Myrx Pharmacy Llc
DBA Doing business as Access Myrx Pharmacy, Llc
Authorized official Ly, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2017
Last updated Apr 8th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639616600 NPPES
California MEDICAID 2619441

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