Organization
LITTLE TOKYO PHARMACY, INC.
Active
Organization
LITTLE TOKYO PHARMACY, INC.
Active
Other names
Little Tokyo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM WONKYU KIM PH. D (PIC/OWNER)
(213) 680-4011
Entity
Organization
Contact information
Practice address
402 E. 2ND ST, LOS ANGELES, CA 90012
(213) 680-4011
(213) 680-0307
Mailing address
402 E. 2ND ST, LOS ANGELES, CA 90012
(213) 680-4011
(213) 680-0307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2114012
PK
—
05
—
PHA472820
—
CA
Enumeration date
07/22/2006
Last updated
04/22/2022
Update your record
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