Mixlab Tx, LLC
NPI 1245086552ActiveOrganization· Pharmacy· Weatherford, TX
Pharmacy in Weatherford, Texas, registered in NPPES in April 2024, part of Mixlab, Inc. The authorized official on file is Vinnei Dam, PHARMD, MS, Chief Pharmacy Officer.
Overview
| NPI | 1245086552 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mixlab, Inc. |
| NPI issued | Apr 26, 2024 |
| Last updated in NPPES | Apr 26, 2024 |
| Certified by provider | Apr 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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