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
Fax: (805) 416-8902
Website:
Authorized official contact:
Name: Masih, Amgad PHARM-D

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275516502 NPPES
Other 2004406 PK
MEDICAID 9972740 PK

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