Organization
TOMKIY, INC
Active
Other names
PERVELERS PHARMACY & HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. KIYOSHI KIY TAKEMOTO I PHARM D. (SEC/TREAS)
(626) 287-6181
Entity
Organization
Contact information
Practice address
201 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-1622
(626) 287-6181
(626) 287-9706
Mailing address
201 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-1622
(626) 287-6181
(626) 287-9706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA303150
—
CA
Enumeration date
01/18/2006
Last updated
07/21/2022
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