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Individual

AMELIA IWAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5119 POMONA BLVD, FIRST FLOOR PHARMACY, LOS ANGELES, CA 90022-1711
(323) 881-5200
Mailing address
5119 POMONA BLVD, FIRST FLOOR PHARMACY, LOS ANGELES, CA 90022-1711
(323) 881-5200

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
39496
CA

Other

Enumeration date
02/03/2017
Last updated
02/03/2017
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