Organization
DIANAPHARM LLC
Active
Organization
DIANAPHARM LLC
Active
Other names
ARDMORE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HYO LEE (OWNER)
(213) 385-2135
Entity
Organization
Contact information
Practice address
3545 WILSHIRE BLVD, STE 200, LOS ANGELES, CA 90010-2354
(213) 385-2135
(213) 385-2138
Mailing address
3545 WILSHIRE BLVD, STE 200, LOS ANGELES, CA 90010-2354
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY46838
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5613915
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA468380
—
CA
Enumeration date
08/10/2006
Last updated
06/13/2008
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