Organization
JFK MEDICAL PLAZA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG CHO (PRESIDENT)
(760) 772-7300
Entity
Organization
Contact information
Practice address
41120 WASHINGTON ST, STE 100, BERMUDA DUNES, CA 92203-9215
(760) 772-7300
(760) 772-7303
Mailing address
41120 WASHINGTON ST, STE 100, BERMUDA DUNES, CA 92203-9215
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY45002
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0544052
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHY45002
—
CA
Enumeration date
10/25/2006
Last updated
09/11/2025
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