Organization
KDJ HEALTHCARE INC
Active
Other names
986 Pharmacy #8010
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA THAI (CEO)
(213) 816-0270
Entity
Organization
Contact information
Practice address
2781-2783 W. OLYMPIC BLVD., LOS ANGELES, CA 90006-2632
(213) 816-0270
(213) 816-0271
Mailing address
2781-2783 W. OLYMPIC BLVD., LOS ANGELES, CA 90006-2632
(213) 816-0270
(213) 816-0271
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58812
CA BOARD OF PHARMACY
CA
Enumeration date
04/03/2007
Last updated
12/27/2022
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