Organization
J B FAR INC
Active
Other names
San Martin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSEF BAHDI (OWNER, AO)
(323) 582-6078
Entity
Organization
Contact information
Practice address
2699 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4747
(323) 582-6078
(323) 582-0833
Mailing address
2699 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4747
(323) 582-6078
(323) 582-0833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51721
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144039
PK
—
05
—
51721
—
CA
Enumeration date
01/29/2007
Last updated
03/11/2016
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