Organization
ST. JOHN'S WELL CHILD AND FAMILY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON DOAN PHARM.D. (DIRECTOR OF PHARMACY)
(323) 541-1600
Entity
Organization
Contact information
Practice address
326 W 23RD ST, LOS ANGELES, CA 90007-2612
(323) 541-1600
(323) 924-9098
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2724
CA
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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