Organization
NOMIS JL CORPORATION
Active
Other names
Professional Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINA SIMON (PRESIDENT/OWNER)
(626) 443-8987
Entity
Organization
Contact information
Practice address
3131 SANTA ANITA AVE, EL MONTE, CA 91733-1369
(626) 443-8987
(626) 444-5980
Mailing address
3131 SANTA ANITA AVE, SUITE 101, EL MONTE, CA 91733-1369
(626) 443-8987
(626) 444-5980
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
49931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2120817
PK
—
Enumeration date
09/30/2006
Last updated
10/21/2016
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