Healthcare Provider Details

I. General information

NPI: 1255687489
Provider Name (Legal Business Name): RX ADVISORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2012
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 HERNDON AVE
CLOVIS CA
93611-6300
US

IV. Provider business mailing address

2101 HERNDON AVE
CLOVIS CA
93611-6300
US

V. Phone/Fax

Practice location:
  • Phone: 559-298-0600
  • Fax: 559-325-2226
Mailing address:
  • Phone: 559-298-0600
  • Fax: 559-325-2226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number50969
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY55976
License Number State

VIII. Authorized Official

Name: TONY MINH TA
Title or Position: PIC
Credential: RPH
Phone: 559-298-0600