Type | Company | [sources] | |||
---|---|---|---|---|---|
Name | I.MC16, Inc., dba R & X Compounding Pharmacy | [sources] | |||
Incorporation date | not available | [sources] | |||
Jurisdiction | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1821345711 | [sources] | |||
Registration number | PHY 50776 | [sources] | |||
Sector | Entity/Corporation | [sources] | |||
Address | 3680 Wilshire Blvd., No. 106, Los Angeles, CA, 90010 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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