Organization
MERCY PHARMACY GROUP, INC
Active
Other names
CARSON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LY PHARM.D. (PRESIDENT)
(310) 328-0982
Entity
Organization
Contact information
Practice address
21720 S VERMONT AVE, SUITE 101, TORRANCE, CA 90502-2127
(310) 328-0982
(310) 328-8080
Mailing address
21720 S VERMONT AVE, SUITE 101, TORRANCE, CA 90502-2127
(310) 328-0982
(310) 328-8080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA223530
—
CA
Enumeration date
08/21/2006
Last updated
02/05/2019
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