Organization
COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD YOUNG-SOARES RPH (PHARMACIST IN CHARGE)
(562) 869-0965
Entity
Organization
Contact information
Practice address
10401 LAKEWOOD BLVD, DOWNEY, CA 90241-2744
(562) 869-0965
(562) 869-8135
Mailing address
10401 LAKEWOOD BLVD, DOWNEY, CA 90241-2744
(562) 869-0965
(562) 869-8135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515049
NAPB
AR
Enumeration date
02/01/2007
Last updated
01/07/2011
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