Organization
KYODO DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM OKITA (PRESIDENT)
(213) 628-3894
Entity
Organization
Contact information
Practice address
420 E 3RD ST STE 106, LOS ANGELES, CA 90013-1645
(213) 628-3894
(213) 628-9897
Mailing address
420 E 3RD ST STE 106, LOS ANGELES, CA 90013-1645
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY35725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0536017
OTHER ID NUMBER
—
05
—
PHA357250
—
CA
Enumeration date
08/10/2006
Last updated
02/14/2008
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