Healthcare Provider Details

I. General information

NPI: 1982013462
Provider Name (Legal Business Name): MEDRX INFUSION CLINICAL PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N OAK ST
INGLEWOOD CA
90302-3314
US

IV. Provider business mailing address

415 N OAK ST
INGLEWOOD CA
90302-3314
US

V. Phone/Fax

Practice location:
  • Phone: 310-671-2600
  • Fax: 310-671-2601
Mailing address:
  • Phone: 310-671-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ALEX STEINE
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 310-671-2600