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INNOVATIVE RX INC

Medical Equipment Supplier Yellow Pages

Costa Mesa, California

Provider NPI: 1063524056

Organization Information:
Organization Name:  INNOVATIVE RX INC


Practice Location:
275 VICTORIA ST STE 1F COSTA MESA, CA 92627 US
Tel: 949-642-0106  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
CAPHY48847

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER052546801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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