Organization
LILIUM HEALTHCARE INC
Active
Other names
986 Pharmacy #8028
Organization subpart
No
Provider details
NPI number
Authorized official
LILIA YANG XU PHARM D. (CEO)
(626) 758-1000
Entity
Organization
Contact information
Practice address
3580 SANTA ANITA AVE, UNIT B, EL MONTE, CA 91731-2455
(626) 758-1000
(626) 758-1028
Mailing address
3580 SANTA ANITA AVE, UNIT B, EL MONTE, CA 91731-2455
(626) 758-1000
(626) 758-1028
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59455
STATE BOARD OF PHARMACY
CA
Enumeration date
08/18/2006
Last updated
06/06/2024
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