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Organization
WILSHIRE LA JOLLA PHARMACY INC
Active
Organization
WILSHIRE LA JOLLA PHARMACY INC
Active
Other names
WILSHIRE LA JOLLA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CHE (PRESIDENT, OWNER)
(323) 658-6611
Entity
Organization
Contact information
Practice address
6360 WILSHIRE BLVD, LOS ANGELES, CA 90048-5603
(323) 658-6611
(323) 658-7021
Mailing address
6360 WILSHIRE BLVD, LOBBY, LOS ANGELES, CA 90048-5603
(323) 658-6611
(323) 658-7021
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0529377
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA441860
—
CA
Enumeration date
12/01/2005
Last updated
03/18/2021
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