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Organization
VILLAGE PHARMACY
Active
Organization
VILLAGE PHARMACY
Active
Other names
VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAY IN PARK (PIC)
(213) 749-2346
Entity
Organization
Contact information
Practice address
3137 S HOOVER ST, LOS ANGELES, CA 90007-3196
(213) 749-2346
(213) 749-5270
Mailing address
3137 S HOOVER ST, LOS ANGELES, CA 90007-3196
(213) 749-2346
(213) 749-5270
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0578508
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/22/2006
Last updated
05/07/2012
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