Healthcare Provider Details

I. General information

NPI: 1922939693
Provider Name (Legal Business Name): HEALING RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 N PONDEROSA DR STE B106
CAMARILLO CA
93010-2474
US

IV. Provider business mailing address

2412 N PONDEROSA DR STE B106
CAMARILLO CA
93010-2474
US

V. Phone/Fax

Practice location:
  • Phone: 805-861-3696
  • Fax:
Mailing address:
  • Phone: 805-861-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MIRETTE FOUAD
Title or Position: PHARMACIST
Credential:
Phone: 805-861-3696