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Individual

PETER TY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
2937 CANDLEWOOD ST, LAKEWOOD, CA 90712-2129
(562) 761-7882
Mailing address
2937 CANDLEWOOD ST, LAKEWOOD, CA 90712-2129
(562) 761-7882

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
65736
CA

Other

Enumeration date
03/31/2014
Last updated
03/31/2014
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