Organization
SOON YOUNG YIM
Active
Other names
Eden Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON YOUNG YIM RPH (OWNER)
(213) 381-7705
Entity
Organization
Contact information
Practice address
2681 W OLYMPIC BLVD, STE 102, LOS ANGELES, CA 90006-2810
(213) 381-7705
(213) 381-7706
Mailing address
2681 W OLYMPIC BLVD, STE 102, LOS ANGELES, CA 90006-2810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5614397
OTHER ID NUMBER
—
05
—
PHA469310
—
CA
Enumeration date
05/11/2006
Last updated
06/10/2010
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