Organization
RALPHS GROCERY CO
Active
Organization
RALPHS GROCERY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANET M BAUTISTA DOCTOR OF PHARMACY (PHARMACIST/PHARMACYMANAGER)
(310) 378-5214
Entity
Organization
Contact information
Practice address
102 S IRENA AVE APT 1, REDONDO BEACH, CA 90277-3426
(310) 378-5214
(310) 378-7247
Mailing address
102 S IRENA AVE APT 1, REDONDO BEACH, CA 90277-3426
(310) 378-5214
(310) 378-7247
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH 58038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720003320
—
CA
Enumeration date
03/22/2015
Last updated
03/22/2015
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