Healthcare Provider Details

I. General information

NPI: 1720525793
Provider Name (Legal Business Name): CITY RX PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 10/11/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7643 S. ATLANTIC AVE. STE. A
CUDAHY CA
90201
US

IV. Provider business mailing address

7643 S. ATLANTIC AVE. STE. A
CUDAHY CA
90201
US

V. Phone/Fax

Practice location:
  • Phone: 323-537-8970
  • Fax: 323-537-8991
Mailing address:
  • Phone: 323-537-8970
  • Fax: 323-537-8991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number55473
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: VINAY VEKARIYA
Title or Position: CEO/DIR.
Credential:
Phone: 323-537-8970