Enovex Pharmacy LLC
Organization Active NPI Compounding Pharmacy · Glendale, CA
NPI 1073973616 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1073973616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Compounding Pharmacy 3336C0004X
- Legal business name
- ENOVEX PHARMACY LLC
- Practice address
- 1111 N Brand Blvd
Suite M
Glendale, CA 91202-3070 - Phone
- (818) 696-2501
- Fax
- (888) 333-7911
- NPI assigned
- Feb 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Leo Lafranco
- Title
- Cfo
- Phone
- (630) 242-8969
National Provider Directory
Locations
1111 N Brand Blvd
Ste M
Glendale, CA 91202
Phone (818) 419-2514
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 53943 | CA | |
| Compounding Pharmacy | 3336C0004X | Yes |
Addresses
Primary practice location
1111 N Brand Blvd
Suite M
Glendale, CA 91202-3070
Mailing address
1111 N Brand Blvd
Suite M
Glendale, CA 91202-3070
Phone (818) 696-2501
Other names
- ENOVEX PHARMACY
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.