Organization
JLT PHARMVENTURE INC
Active
Other names
PALMDALE DRUGSTORE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THAM (CEO)
(661) 224-9317
Entity
Organization
Contact information
Practice address
843 AUTO CENTER DR, SUITE C, PALMDALE, CA 93551-4489
(661) 224-9317
Mailing address
843 AUTO CENTER DR, SUITE C, PALMDALE, CA 93551-4489
(661) 224-9317
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PENDING
CA
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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