Organization
DTLA RX PHARMACY APC
Active
Other names
SOUTH PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL KUMAR (CEO/SEC/CFO/PRESIDENT/DIR)
(213) 745-5000
Entity
Organization
Contact information
Practice address
1120 S GRAND AVE STE 103, LOS ANGELES, CA 90015-4677
(213) 745-5000
(213) 745-5000
Mailing address
1120 S GRAND AVE STE 103, LOS ANGELES, CA 90015-4677
(213) 745-5000
(213) 745-5000
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
06/07/2022
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