Organization
LOS ANGELES DRUGS
Active
Organization
LOS ANGELES DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY IM (OWNER)
(213) 387-3030
Entity
Organization
Contact information
Practice address
3030 W OLYMPIC BLVD, SUITE 118, LOS ANGELES, CA 90006-6501
(213) 387-3030
(213) 739-2020
Mailing address
3030 WEST OLYMPIC BLVD, SUITE 118, LOS ANGELES, CA 90006
(213) 387-3030
(213) 739-2020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA438290
—
CA
Enumeration date
12/12/2006
Last updated
08/22/2020
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