Organization
AIDS HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN DENISE MIMS PHARM.D. (PHARMACIST)
(310) 771-0619
Entity
Organization
Contact information
Practice address
19300 S. HAMILTON AVE., STE 170, GARDENA, CA 90248
(310) 771-0619
(310) 771-0621
Mailing address
19300 S. HAMILTON AVENUE, STE 170, GARDENA, CA 90248
(310) 771-0619
(310) 771-0621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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