Organization
VERICOR ENTERPRISES INC.
Active
Other names
Kovacs-Frey Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ODETTE LEONELLI PHARMACIST (PRESIDENT)
(310) 371-7541
Entity
Organization
Contact information
Practice address
2860 ARTESIA BLVD, REDONDO BEACH, CA 90278-3421
(310) 371-7541
Mailing address
2860 ARTESIA BLVD, REDONDO BEACH, CA 90278-3421
(310) 371-7541
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY48888
CA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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