Organization
MAY CORPORATION
Active
Other names
DBA Kim Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY LAM PHARMACIST (PRESIDENT)
(626) 288-4165
Entity
Organization
Contact information
Practice address
8736 E. VALLEY BLVD., #A, ROSEMEAD, CA 91770
(626) 288-4165
(626) 288-2376
Mailing address
8736 E. VALLEY BLVD., #A, ROSEMEAD, CA 91770
(626) 288-4165
(626) 288-2376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY36554
CA
333600000X
Pharmacy
Primary
PHY49967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA365540
—
CA
Enumeration date
10/03/2005
Last updated
08/25/2009
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