Magic Potion Inc in Lake Forest - Community/retail Pharmacy
Magic Potion Inc - NPI 1912062332
Magic Potion Inc is a Community/retail Pharmacy in Lake Forest, California. Magic Potion Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Magic Potion Inc is 1912062332. The last update date is 2023-03-07.
Magic Potion Inc's current location address is 24602 Raymond Way, Lake Forest, California. You can contact this provider via phone number 9498308500 and fax number 9498309884. The mailing address for Magic Potion Inc is 24602 Raymond Way, Lake Forest, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Magic Potion Inc |
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Address | 24602 Raymond Way, Lake Forest, California |
Phone Number | 9498308500 |
Fax Number | 9498309884 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PHAR |
---|---|
Authorized Official Name | Soskin Gennady |
Credentials | PHARM.D. |
Telephone Number | 9498308500 |
NPI Number Detail
NPI Number | 1912062332 |
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Provider Enumeration Date | 2006-12-26 |
Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
Address | 24602 Raymond Way |
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City | Lake Forest |
State | California (CA) |
Post Code | 926304461 |
Phone Number | 9498308500 |
Fax Number | 9498309884 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
---|---|
Taxonomy | 3336C0003X |
Licence No | PHY47205 |
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PHA472050 | CA | -- | |
528034 | CA | NABP |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Magic Potion Inc by the Centers for Medicare & Medicaid Services?
The Magic Potion Inc has been issued the NPI (National Provider Identifier) 1912062332, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Magic Potion Inc is geographically located?
The Magic Potion Inc is physically situated at the following location: 24602 Raymond Way, Lake Forest, CA, 926304461.
What is the Magic Potion Inc's area of specialization and corresponding taxonomy classification?
The Magic Potion Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
When did the Magic Potion Inc receive its 1912062332?
The Magic Potion Inc was issued its 1912062332 on 2006-12-26, which is the date when the organization was assigned this unique identifier.
When was the Magic Potion Inc's information last updated?
The Magic Potion Inc's information was last updated on 2023-03-07.
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