Organization
EXCLUSIVE PRESCRIPTION AND WELLNESS PHCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONAS KIM PHARM D (OWNER)
(626) 644-3103
Entity
Organization
Contact information
Practice address
65 N MADISON AVE, PASADENA, CA 91101-2035
(626) 793-3536
(626) 793-3360
Mailing address
65 N MADISON AVE, PASADENA, CA 91101-2035
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY44807
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0554990
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA448070
—
CA
Enumeration date
08/10/2006
Last updated
09/11/2025
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