Organization
RONSTIN INC
Active
Other names
OLIVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONG HONG (PRESIDENT)
(323) 277-8080
Entity
Organization
Contact information
Practice address
7719 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-6301
(323) 277-8080
(323) 277-8089
Mailing address
7719 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-6301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0537425
OTHER ID NUMBER
—
05
—
PHA415180
—
CA
Enumeration date
08/28/2006
Last updated
05/21/2009
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