Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWAKU Y AGYEMAN PHARMD (PHARMACIST)
(909) 255-6584
Entity
Organization
Contact information
Practice address
6360 W 3RD ST, LOS ANGELES, CA 90036-3155
(323) 937-3019
Mailing address
6360 W 3RD ST, LOS ANGELES, CA 90036-3155
(323) 937-3019
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPH 71925
CA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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