Organization
MISINKO INC
Active
Other names
ST JAMES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PRATISH MISTRY RPH (TREASURER)
(323) 773-1700
Entity
Organization
Contact information
Practice address
7611 ATLANTIC AVE, CUDAHY, CA 90201-5019
(323) 773-1700
(323) 773-5959
Mailing address
7611 ATLANTIC AVE, CUDAHY, CA 90201-5019
(323) 773-1700
(323) 773-5959
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2075229
PK
—
05
—
PHA432820
—
CA
Enumeration date
10/27/2005
Last updated
02/18/2016
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