Individual
ANTONIO J DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3915 E 2ND ST, LOS ANGELES, CA 90063-3613
(323) 262-2354
Mailing address
PO BOX 63067, LOS ANGELES, CA 90063-0067
(323) 262-2354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13947
NV
183500000X
Pharmacist
Primary
RPH 47901
CA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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