Organization
L.A. CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYLE STEPHENS BUTLER PHARM.D. (MEDICOM MANAGER, PHARMACY & FORMULA)
(213) 694-1250
Entity
Organization
Contact information
Practice address
1055 W 7TH ST FL 10, LOS ANGELES, CA 90017-2750
(213) 694-1250
Mailing address
1055 W 7TH ST FL 10, LOS ANGELES, CA 90017-2750
(213) 694-1250
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
49118
CA
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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