Organization
ARDMORE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA BOH-YOUNG PARK PHARMACIST (OWNER)
(213) 385-2135
Entity
Organization
Contact information
Practice address
3545 WILSHIRE BLVD STE 200, LOS ANGELES, CA 90010-2378
(213) 385-2135
(213) 385-2138
Mailing address
3545 WILSHIRE BLVD STE 200, LOS ANGELES, CA 90010-2378
(213) 385-2135
(213) 385-2138
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA468380
—
CA
Enumeration date
05/20/2009
Last updated
05/20/2009
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