Organization
KIHO PAI
Active
Other names
Pioneer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KIHO PAI RPH (OWNER/PHARMACIST)
(562) 402-6972
Entity
Organization
Contact information
Practice address
15917 PIONEER BLVD, NORWALK, CA 90650-7117
(562) 402-6972
(562) 402-6072
Mailing address
15917 PIONEER BLVD, NORWALK, CA 90650-7117
(562) 402-6972
(562) 402-6072
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY449740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA449740
MEDICAL
CA
Enumeration date
09/20/2006
Last updated
08/20/2008
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