Organization
10TH AVENUE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL C. ACHOLONU (DIRECTOR)
(323) 298-7693
Entity
Organization
Contact information
Practice address
2706 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2747
(323) 298-7693
(323) 298-0443
Mailing address
2706 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2747
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH38205
CA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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