Healthcare Provider Details
I. General information
NPI: 1720420573
Provider Name (Legal Business Name): GLOBAL RX INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2013
Last Update Date: 08/18/2021
Certification Date: 08/18/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3701 E THOUSAND OAKS BLVD
WESTLAKE VILLAGE CA
91362-3607
US
IV. Provider business mailing address
9461 CHARLEVILLE BLVD STE 103
BEVERLY HILLS CA
90212-3017
US
V. Phone/Fax
- Phone: 805-379-4110
- Fax: 866-902-8341
- Phone: 805-379-4110
- Fax: 866-902-8341
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
KOHANMEHR
Title or Position: PRESIDENT
Credential: PHARM.D.
Phone: 805-379-4110