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Organization
CLOVER CARE PHARMACY INC
Active
Organization
CLOVER CARE PHARMACY INC
Active
Other names
CLOVER CARE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANG J. LEE (PRESIDENT/PIC)
(213) 384-8763
Entity
Organization
Contact information
Practice address
266 S HARVARD BLVD STE 140, LOS ANGELES, CA 90004-4389
(213) 384-8763
(213) 384-7521
Mailing address
266 S HARVARD BLVD STE 140, LOS ANGELES, CA 90004-4389
(213) 384-8763
(213) 384-7521
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57713
BOARD OF PHARMACY PERMIT
CA
Enumeration date
04/16/2020
Last updated
04/21/2020
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