Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN DO (STAFF PHARMACIST)
(310) 408-2627
Entity
Organization
Contact information
Practice address
4755 W. ROSECRANS AVE, HAWTHORNE, CA 90505-5525
(310) 263-7330
Mailing address
4755 W. ROSECRANS AVE, HAWTHORNE, CA 90505-5525
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
65074
CA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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