Organization
IJEOMA OBINWANNE
Active
Other names
EL MONTE COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA OBINWANNE (PHARMACIST)
(626) 579-6277
Entity
Organization
Contact information
Practice address
10808 RAMONA BLVD, EL MONTE, CA 91731-2628
(626) 579-6277
(626) 579-6739
Mailing address
10808 RAMONA BLVD, EL MONTE, CA 91731-2628
(626) 579-6277
(626) 579-6739
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50449
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127734
PK
—
Enumeration date
09/22/2010
Last updated
08/16/2016
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