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Organization
SOUTH WESTERN PHARMACY
Active
Organization
SOUTH WESTERN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA TUMBAN (OWNER)
(323) 752-1692
Entity
Organization
Contact information
Practice address
7301 S WESTERN AVE, LOS ANGELES, CA 90047-2254
(323) 752-1692
(323) 752-0710
Mailing address
7301 S WESTERN AVE, LOS ANGELES, CA 90047-2254
(323) 752-1692
(323) 752-0710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
48238
CA
333600000X
Pharmacy
PHY 32368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY32368
MEDICAL ID NUMBER
CA
Enumeration date
01/13/2006
Last updated
07/03/2008
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