Healthcare Provider Details

I. General information

NPI: 1407525264
Provider Name (Legal Business Name): LA PAZ PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2355 N OXNARD BLVD
OXNARD CA
93036-2065
US

IV. Provider business mailing address

2355 N OXNARD BLVD
OXNARD CA
93036-2065
US

V. Phone/Fax

Practice location:
  • Phone: 805-485-1991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. ARTURO DOMINGUEZ
Title or Position: OWNER
Credential: PHARMD
Phone: 805-288-3643