Provider Demographics
NPI:1962752774
Name:TOTALRX PHARMACY, INC.
Entity type:Organization
Organization Name:TOTALRX PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:BICKIE
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:714-797-3212
Mailing Address - Street 1:30 CENTERPOINTE DR
Mailing Address - Street 2:SUITE 14
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1055
Mailing Address - Country:US
Mailing Address - Phone:714-797-3212
Mailing Address - Fax:714-739-3302
Practice Address - Street 1:30 CENTERPOINTE DR
Practice Address - Street 2:SUITE 14
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1055
Practice Address - Country:US
Practice Address - Phone:714-797-3212
Practice Address - Fax:714-739-3302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA507883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy