Healthcare Provider Details
I. General information
NPI: 1992955157
Provider Name (Legal Business Name): HARMONY RX DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2008
Last Update Date: 11/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3309 W MAGNOLIA BLVD
BURBANK CA
91505-2908
US
IV. Provider business mailing address
3309 W MAGNOLIA BLVD
BURBANK CA
91505-2908
US
V. Phone/Fax
- Phone: 818-843-6600
- Fax: 818-843-6606
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHY49219 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336M0002X |
| Taxonomy | Mail Order Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADEDIJI
SOREMEKUN
Title or Position: CEO
Credential:
Phone: 310-403-6834