Organization
MARIPOSA PHARMACY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL PARK (CEO)
(310) 720-1237
Entity
Organization
Contact information
Practice address
2970 W OLYMPIC BLVD # 104, LOS ANGELES, CA 90006-2518
(213) 365-5067
Mailing address
2970 W OLYMPIC BLVD # 104, LOS ANGELES, CA 90006-2518
(213) 365-5067
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY52570
CA
Other
Enumeration date
04/18/2015
Last updated
04/18/2015
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