Golden Life Pharmacy
LBN: Mishnik Pharmacy Services Inc
Golden Life Pharmacy is an health care organization with primary practice located at 1960 Sequoia Ave Ste 5 , Simi Valley CA 93063-3176. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Mishnik Pharmacy Services Inc can be contacted via phone (805) 416-8700, or through Masih, Amgad via phone (805) 416-8700.
Contact Information
Primary practice address
1960 Sequoia Ave Ste 5
Simi Valley CA 93063-3176
Phone: (805) 416-8700
Fax: (805) 416-8902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | PHY48911 | California |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1275516502 |
|---|---|
| LBN Legal business name | Mishnik Pharmacy Services Inc |
| DBA Doing business as | Golden Life Pharmacy |
| Authorized official | Masih, Amgad PHARM-D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275516502 | NPPES |
| Other | 2004406 | PK | |
| MEDICAID | 9972740 | PK |
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