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Organization

MARTIN L. KING, JR. MULTI SERVICE AMCARE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANTIONETTE EPPS (ADMINISTRATOR)
(310) 668-5201
Entity
Organization

Contact information

Practice address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-3966
Mailing address
12021 WILMINGTON AVE, LOS ANGELES, CA 90059-3019
(310) 668-3966

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
PHE14221
CA

Other

Enumeration date
10/11/2007
Last updated
10/11/2007
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