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Organization
VINCENT LY PHARMACY INCORPORATION
Active
Organization
VINCENT LY PHARMACY INCORPORATION
Active
Other names
986 Pharmacy, 701 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT LY (CEO/PHARMACIST IN CHARGE)
(626) 672-9220
Entity
Organization
Contact information
Practice address
701 S ATLANTIC BLVD STE 168, SUITE 168, MONTEREY PARK, CA 91754-3866
(626) 782-7800
(626) 782-7755
Mailing address
701 S ATLANTIC BLVD STE 168, MONTEREY PARK, CA 91754-3866
(626) 672-9220
(626) 782-7755
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159805
PK
—
Enumeration date
04/27/2016
Last updated
08/18/2026
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