Mixlab, Inc.

Pharmacy · Hollywood, FL

Organization Active NPI

NPI number 1366129322

Practice location

3880 N 28TH Ter
Hollywood, FL 33020-1118
Phone
(888) 901-4480
Fax
(212) 267-0892

Open in Google Maps

NPI record

NPI
1366129322
Entity type
Organization (Type 2)
Enumeration date
June 30, 2023
Last updated
September 6, 2023
Certified
October 14, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —
Community/Retail Pharmacy 3336C0003X — —
Compounding Pharmacy 3336C0004X — —

Authorized official

Name
Vinnie Dam
Title
Chief Pharmacy Officer
Phone
(888) 901-4480

About Mixlab, Inc.

Mixlab, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 3880 N 28TH Ter, Hollywood, FL 33020-1118. The NPI number 1366129322 was assigned on June 30, 2023 and the record was last updated on September 6, 2023.

The authorized official for this organization is Vinnie Dam, Chief Pharmacy Officer.

Frequently asked questions

What is the NPI number of Mixlab, Inc.?

The NPI number is 1366129322.

What is the phone number of Mixlab, Inc.?

The phone number listed for the practice location is (888) 901-4480.

Where is Mixlab, Inc. located?

3880 N 28TH Ter, Hollywood, FL 33020-1118.

What is the taxonomy code for Mixlab, Inc.?

The primary taxonomy code is 333600000X – Pharmacy; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacy providers in Hollywood

All Pharmacy providers in Hollywood, FL →