Healthcare Provider Details

I. General information

NPI: 1952272445
Provider Name (Legal Business Name): OXFORD PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W 8TH ST STE 109
LOS ANGELES CA
90005-5030
US

IV. Provider business mailing address

3525 W 8TH ST STE 109
LOS ANGELES CA
90005-5030
US

V. Phone/Fax

Practice location:
  • Phone: 213-674-7120
  • Fax: 213-674-7270
Mailing address:
  • Phone: 213-674-7120
  • Fax: 213-674-7270

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: MIN JI SHIN
Title or Position: PRESIDENT
Credential:
Phone: 213-674-7120