Organization
FIVE ANGELS CORP
Active
Other names
ST. JOHN'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BIJAN GOHARNIA (PRESIDENT)
(323) 277-8388
Entity
Organization
Contact information
Practice address
3074 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5828
(323) 277-8388
(323) 277-8384
Mailing address
PO BOX 5057, HUNTINGTON PARK, CA 90255-9057
(323) 277-8388
(323) 277-8384
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY40916
CA
Other
Enumeration date
02/22/2007
Last updated
07/01/2008
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