Individual
JASON LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
16412 LONGWORTH AVE, NORWALK, CA 90650-6932
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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