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Organization
YGIEA INC
Active
Organization
YGIEA INC
Active
Other names
Memorial Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIDHYUT JANI (OWNER)
(310) 837-6158
Entity
Organization
Contact information
Practice address
9806 VENICE BL., CULVER CITY, CA 90232-2728
(310) 837-6158
(310) 837-6158
Mailing address
9806 VENICE BL., CULVER CITY, CA 90232-2728
(310) 837-6158
(310) 837-6159
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PHY38322
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0511205
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/12/2006
Last updated
03/10/2023
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