Organization
SOUTH CENTRAL FAMILY HEALTH CENTER
Active
Parent organization
SOUTH CENTRAL FAMILY HEALTH CENTER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH CENTRAL FAMILY HEALTH CENTER PHARMACY
Authorized official
MR. RICHARD VELOZ (CHIEF EXECUTIVE OFFICER)
(323) 908-4247
Entity
Organization
Contact information
Practice address
1109 E VERNON AVE, LOS ANGELES, CA 90011-3718
(323) 908-4200
Mailing address
1109 E VERNON AVE, LOS ANGELES, CA 90011-3718
(323) 908-4200
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 53347
CA
3336C0002X
Clinic Pharmacy
Primary
PHY 53347
CA
Other
Enumeration date
08/29/2016
Last updated
02/15/2017
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