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Organization
KLE INC.
Active
Organization
KLE INC.
Active
Other names
KG Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LAXER (CEO)
(310) 920-8199
Entity
Organization
Contact information
Practice address
8956 ELLIS AVE, LOS ANGELES, CA 90034-3302
(310) 559-1400
(310) 559-1401
Mailing address
8956 ELLIS AVE, LOS ANGELES, CA 90034-3302
(310) 559-1400
(310) 559-1401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY 47116
CA
Other
Enumeration date
04/23/2007
Last updated
11/02/2007
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