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
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