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

Mixlab, Inc

Organization Pharmacy · NPI 1407365679

Mixlab, Inc is a Pharmacy in New York, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

336 W 37th St Rm 850
New York, NY 10018-4280
Phone: (888) 901-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 035768 (NY)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 035768 (NY)
Compounding Pharmacy Taxonomy 3336C0004X · Licence 035768 (NY)

Record details

NPI number1407365679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vinnie Dam — Chief Pharmacy Officer · (347) 610-9820
NPI enumeratedSeptember 20, 2017
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address336 W 37th St Rm 850, New York, NY 10018-4280

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