Organization
LM PHARMACY INC
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET BAKER WANIS (PHARMACIST)
(714) 743-1839
Entity
Organization
Contact information
Practice address
11003 LAKEWOOD BLVD, SUITE 101, DOWNEY, CA 90241-3809
(562) 869-9200
(562) 869-9231
Mailing address
11003 LAKEWOOD BLVD, SUITE 101, DOWNEY, CA 90241-3809
(562) 869-9200
(562) 869-9231
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628687
NCPDP #
CA
01
—
PHY57248
PHARMACY LICENSE
CA
Enumeration date
11/08/2007
Last updated
06/19/2019
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