Organization
TRATT
Active
Other names
LOTUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YU-LING BENJAMIN LIAO (OWNER/PIC)
(626) 872-0181
Entity
Organization
Contact information
Practice address
1135 S SAN GABRIEL BLVD, #2, SAN GABRIEL, CA 91776-3114
(626) 872-0181
(626) 872-0182
Mailing address
1135 S SAN GABRIEL BLVD, #2, SAN GABRIEL, CA 91776-3114
(626) 872-0181
(626) 872-0182
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104169531
—
CA
Enumeration date
04/04/2013
Last updated
02/01/2022
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