Organization
CVS/PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE LEE DIAZ PHARM.D. (CLINICAL PHARMACIST)
(562) 924-7697
Entity
Organization
Contact information
Practice address
11851 ARTESIA BLVD, ARTESIA, CA 90701-4002
(562) 924-9767
Mailing address
11851 ARTESIA BLVD, ARTESIA, CA 90701-4002
(562) 924-9767
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
68921
CA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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