| NPI | 1467882779 |
|---|---|
| Doing Business As | MYDREXA COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARYNA BLOM President 858-726-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY51513) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |