Organization
LA PHARMACIE, INC
Active
Other names
Mercy Pharmacy San Dimas
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LY PHARM.D. (PRESIDENT)
(909) 599-3444
Entity
Organization
Contact information
Practice address
1152 VIA VERDE, SAN DIMAS, CA 91773-4401
(909) 599-3444
(909) 599-6627
Mailing address
1152 VIA VERDE, SAN DIMAS, CA 91773-4401
(909) 599-3444
(909) 599-6627
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY37115
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801893466
—
CA
05
—
PHA371150
—
CA
Enumeration date
06/28/2005
Last updated
07/16/2020
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