Organization
IVONNE DE LA ROSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NEGDA IVONNE DE LA ROSA PHARM D (OWNER)
(323) 773-6538
Entity
Organization
Contact information
Practice address
6039 FLORENCE AVE, BELL GARDENS, CA 90201-4727
(323) 773-6538
Mailing address
6039 FLORENCE AVE, BELL GARDENS, CA 90201-4727
(323) 773-6538
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY36988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA369880
—
CA
Enumeration date
02/16/2007
Last updated
05/29/2012
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