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Individual

ANDREW SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
200 MEDICAL PLZ, LOS ANGELES, CA 90095-0001
(310) 206-3784
Mailing address
1153 WESTERN AVE APT A, GLENDALE, CA 91201-3596

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1295913499
UCLA
CA
Enumeration date
06/18/2017
Last updated
06/18/2017
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