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MIXLAB INC. NPI 1407365679


NPI Information

NPI: 1407365679
Provider Name: MIXLAB, INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
336 W 37TH ST RM 850
NEW YORK, NY
ZIP 10018
Phone: (888) 901-4480
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MIXLAB, INC. is a pharmacy in New York, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MIXLAB, INC. NPI is 1407365679. The provider is registered as an organization entity type.

The provider's business location address is:

336 W 37TH ST RM 850
NEW YORK, NY
ZIP 10018-280
Phone: (888) 901-4480

The provider's authorized official is Vinnie Dam .
The authorized official title is Chief Pharmacy Officer and has the following contact phone number (347) 610-9820.

The enumeration date for this NPI number is 9/20/2017 and was last updated on 10/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy035768NEW YORKNo
23336C0004XPharmacyCompounding Pharmacy035768NEW YORKNo
3333600000XPharmacy035768NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.