Organization
CLINTON AND CLINTON INC
Active
Other names
APOTHECARY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CLINTON RPH (PHARMACY MGR)
(310) 737-7277
Entity
Organization
Contact information
Practice address
11700 NATIONAL BLVD STE L, STE L, LOS ANGELES, CA 90064-3668
(310) 737-7277
(310) 737-7977
Mailing address
11700 NATIONAL BLVD STE L, STE L, LOS ANGELES, CA 90064-3668
(310) 737-7277
(310) 737-7977
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46250
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995477
PK
—
05
—
PHA462500
—
CA
Enumeration date
03/18/2007
Last updated
02/14/2017
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