Organization
M & S PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE OTANI PHARMD (PHARMACY MANAGER)
(310) 822-6354
Entity
Organization
Contact information
Practice address
4561 S CENTINELA AVE, LOS ANGELES, CA 90066-6248
(310) 822-6354
(310) 822-6540
Mailing address
4561 S CENTINELA AVE, LOS ANGELES, CA 90066-6248
(310) 822-6354
(310) 822-6540
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
39595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA395950
—
CA
Enumeration date
02/28/2007
Last updated
08/13/2008
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