Healthcare Provider Details

I. General information

NPI: 1194040907
Provider Name (Legal Business Name): FOCUS RX. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2010
Last Update Date: 06/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18182 OUTER HIGHWAY 18 #107
APPLE VALLEY CA
92307-2200
US

IV. Provider business mailing address

18182 OUTER HIGHWAY 18 #107
APPLE VALLEY CA
92307-2200
US

V. Phone/Fax

Practice location:
  • Phone: 760-242-4223
  • Fax:
Mailing address:
  • Phone: 760-242-4223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 50155
License Number StateCA

VIII. Authorized Official

Name: MR. MIKE RAID SAYED
Title or Position: PRESIDENT/PIC
Credential: RPH
Phone: 760-242-4223