Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mixlab, Inc

Organization Pharmacy · NPI 1366129322

Mixlab, Inc is a Pharmacy in Hollywood, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3880 N 28th Ter
Hollywood, FL 33020-1118
Phone: (888) 901-4480
Fax: (212) 267-0892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X

Record details

NPI number1366129322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vinnie Dam — Chief Pharmacy Officer · (888) 901-4480
NPI enumeratedJune 30, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateOctober 14, 2021
Mailing address3880 N 28th Ter, Hollywood, FL 33020-1118

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