Organization
DAVIDS PHARMACY
Active
Organization
DAVIDS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIM (OWNER AND PIC)
(213) 388-0300
Entity
Organization
Contact information
Practice address
3000 W OLYMPIC BLVD, STE 201, LOS ANGELES, CA 90006-2516
(213) 388-0300
(213) 388-5324
Mailing address
3000 W OLYMPIC BLVD, STE 201, LOS ANGELES, CA 90006-2516
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39983
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0551184
OTHER ID NUMBER
—
Enumeration date
09/10/2007
Last updated
09/10/2007
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