Organization
1010 PHARMACY
Active
Other names
1010 Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS THOMAS (PRESIDENT)
(213) 784-9499
Entity
Organization
Contact information
Practice address
1010 WILSHIRE BLVD, SUITE 113, LOS ANGELES, CA 90017
(213) 784-9499
(213) 402-5260
Mailing address
1010 WILSHIRE BLVD, SUITE 113, LOS ANGELES, CA 90017
(213) 784-9499
(213) 402-5260
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
51478
CA
Other
Enumeration date
07/23/2013
Last updated
09/08/2015
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