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Organization
MADELEINE LORD
Active
Organization
MADELEINE LORD
Active
Other names
crown drug store
Organization subpart
No
Provider details
NPI number
Authorized official
MADELEINE LORD (OWNER)
(310) 323-6193
Entity
Organization
Contact information
Practice address
657 E UNIVERSITY DR, CARSON, CA 90746-1966
(310) 323-6193
Mailing address
657 E UNIVERSITY DR, CARSON, CA 90746-1966
(310) 323-6193
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY39951
CA
Other
Enumeration date
09/26/2006
Last updated
09/21/2017
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