Healthcare Provider Details

I. General information

NPI: 1447308648
Provider Name (Legal Business Name): ONRX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2007
Last Update Date: 06/24/2022
Certification Date: 06/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3586 REDONDO BEACH BLVD
TORRANCE CA
90504-1404
US

IV. Provider business mailing address

3586 REDONDO BEACH BLVD
TORRANCE CA
90504-1404
US

V. Phone/Fax

Practice location:
  • Phone: 310-370-1040
  • Fax: 310-542-6411
Mailing address:
  • Phone: 310-370-1040
  • Fax: 310-542-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHY44635
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ARNOLD GARGANTOS
Title or Position: PHARMACIST OWNER
Credential: RPH
Phone: 310-370-1040