Organization
BLM PHARMACY INC
Active
Other names
Bright La Mirada Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TOBIAS PORTER (PRESIDENT)
(562) 777-8175
Entity
Organization
Contact information
Practice address
12675 LA MIRADA BLVD., SUITE 100, LA MIRADA, CA 90638
(562) 777-8175
(562) 777-7156
Mailing address
12675 LA MIRADA BLVD., SUITE 100, LA MIRADA, CA 90638
(562) 777-8175
(562) 777-7156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY53361
CA
Other
Enumeration date
08/28/2016
Last updated
12/07/2016
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