Organization
CARSON WELLNESS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIDINMA JENNY CHIKEZIE PHARMD (PHARMACIST)
(310) 422-6586
Entity
Organization
Contact information
Practice address
22005 AVALON BLVD STE D, CARSON, CA 90745-7169
(424) 295-7979
(424) 295-7999
Mailing address
20111 WADLEY AVE, CARSON, CA 90746-3046
(310) 422-6586
(424) 295-7999
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
55785
CA
3336C0003X
Community/Retail Pharmacy
Primary
55785
CA
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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