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Organization
WEST COAST PHARMACY GROUP INC
Active
Organization
WEST COAST PHARMACY GROUP INC
Active
Other names
florence pharmacy and medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LY (PRESIDENT)
(323) 277-9500
Entity
Organization
Contact information
Practice address
1422 E FLORENCE AVE, LOS ANGELES, CA 90001-1937
(323) 277-9500
(323) 277-9550
Mailing address
1422 E FLORENCE AVE, LOS ANGELES, CA 90001-1937
(323) 277-9500
(323) 277-9550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50748
CA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132324
PK
—
05
—
PHY50748
—
CA
Enumeration date
09/04/2009
Last updated
05/26/2022
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