Organization
EL SEGUNDO PHARMACY INC
Active
Other names
La Pharmacie du Pacifique
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER O'KEEFE (PRESIDENT)
(424) 321-8273
Entity
Organization
Contact information
Practice address
827 N DOUGLAS ST, EL SEGUNDO, CA 90245-2801
(424) 321-8273
Mailing address
827 N DOUGLAS ST, EL SEGUNDO, CA 90245-2801
(424) 321-8273
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59486
STATE LICENSE NUMBER
CA
Enumeration date
05/31/2024
Last updated
05/31/2024
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