Organization
BRIGHTON WAY PHARMACY
Active
Other names
WEST WILSHIRE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE YEPEZ (MANAGER)
(323) 651-1595
Entity
Organization
Contact information
Practice address
6333 WILSHIRE BLVD, LOS ANGELES, CA 90048-5702
(323) 651-1595
(323) 951-1095
Mailing address
6333 WILSHIRE BLVD, LOS ANGELES, CA 90048-5702
(323) 651-1595
(323) 951-1095
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY37949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0575805
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/12/2007
Last updated
12/03/2012
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