Individual
BENITA PATRICIA COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3532 W 82ND ST, INGLEWOOD, CA 90305-1235
(323) 778-5464
(323) 758-6522
Mailing address
3532 W 82ND ST, INGLEWOOD, CA 90305-1235
(323) 778-5464
(323) 758-6522
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33359
CA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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