Organization
JULIA B DUREG
Active
Organization
JULIA B DUREG
Active
Other names
SOTO DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA ONGGOSUWARNO (OWNER)
(213) 480-6588
Entity
Organization
Contact information
Practice address
2911 BEVERLY BLVD, STE 102, LOS ANGELES, CA 90057-1025
(213) 480-6588
(213) 480-6582
Mailing address
2911 BEVERLY BLVD, STE 102, LOS ANGELES, CA 90057-1025
(213) 480-6588
(213) 480-6582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46246
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2027424
PK
—
05
—
PHA462460
—
CA
Enumeration date
08/10/2006
Last updated
05/19/2016
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