Organization
PALU INC
Active
Other names
MONTEREY PARK PROFESSIONAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SRILAKSHMI NAINALA (PHARMACIST/OWNER)
(310) 301-4863
Entity
Organization
Contact information
Practice address
850 S ATLANTIC BLVD, SUITE 100, MONTEREY PARK, CA 91754-4730
(626) 308-9227
(626) 308-2067
Mailing address
850 S ATLANTIC BLVD, SUITE 100, MONTEREY PARK, CA 91754-4730
(626) 308-9227
(626) 308-2067
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44401
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0574928
—
CA
01
—
2002305
PK
—
Enumeration date
10/12/2006
Last updated
09/13/2021
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