Healthcare Provider Details

I. General information

NPI: 1922356120
Provider Name (Legal Business Name): MARKET PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2012
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 RESEDA BLVD UNIT 2D
NORTHRIDGE CA
91324-3142
US

IV. Provider business mailing address

PO BOX 3055
HUNTINGTON BEACH CA
92605-3055
US

V. Phone/Fax

Practice location:
  • Phone: 818-349-9795
  • Fax: 818-349-9918
Mailing address:
  • Phone: 714-706-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ZEGLINSKI
Title or Position: CEO
Credential:
Phone: 714-706-9030