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Organization
VERNON CENTRAL BOTICA PHARMACY INC
Active
Organization
VERNON CENTRAL BOTICA PHARMACY INC
Active
Other names
Vernon Central Botica Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC LEE (OWNER)
(323) 231-8992
Entity
Organization
Contact information
Practice address
4375 S CENTRAL AVE, LOS ANGELES, CA 90011-3526
(323) 231-8992
(323) 231-7543
Mailing address
4375 S CENTRAL AVE, LOS ANGELES, CA 90011
(323) 231-8992
(323) 231-7543
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689742058
—
CA
01
—
2000295
PK
—
05
—
PHA400070
—
CA
Enumeration date
12/01/2006
Last updated
01/07/2021
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