Organization
GRAND PHARMACY., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOON TAE CHOI (CEO)
(213) 276-9090
Entity
Organization
Contact information
Practice address
505 S VIRGIL AVE, 107, LOS ANGELES, CA 90020-1406
(213) 380-5100
(213) 386-7733
Mailing address
505 S VIRGIL AVE, 107, LOS ANGELES, CA 90020-1406
(213) 380-5100
(213) 386-7733
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51830
CA
Other
Enumeration date
05/16/2014
Last updated
06/17/2014
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