Organization
JOHNSON PHARMACY CORP
Active
Other names
L A GOOD NEIGHBOR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN FONG PHARM D (PRESIDENT)
(626) 272-4373
Entity
Organization
Contact information
Practice address
4562 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90022-1117
(323) 796-0250
(323) 796-0251
Mailing address
2107 W COMMONWEALTH AVE, STE D 375, ALHAMBRA, CA 91803-1435
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5616707
OTHER ID NUMBER
—
05
—
PHA47297
—
CA
Enumeration date
06/11/2006
Last updated
05/22/2008
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