Organization
JUNG SUN LEE
Active
Other names
Kingsley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNG SUN LEE (OWNER, PHARMACIST)
(213) 383-8877
Entity
Organization
Contact information
Practice address
3663 W 6TH ST, SUITE 102, LOS ANGELES, CA 90020-3049
(213) 383-8877
(213) 368-1590
Mailing address
3663 W 6TH ST, SUITE 102, LOS ANGELES, CA 90020-3049
(213) 383-8877
(213) 368-1590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 37825
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA378250
—
CA
Enumeration date
02/16/2007
Last updated
08/01/2013
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