Organization
PALU INC
Active
Organization
PALU INC
Active
Other names
Marina Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAINALA SRILAKSHMI (PIC)
(310) 301-4863
Entity
Organization
Contact information
Practice address
4726 LINCOLN BLVD, MARINA DEL REY, CA 90292-6902
(310) 301-4863
(310) 301-4865
Mailing address
4726 LINCOLN BLVD, MARINA DEL REY, CA 90292-6902
(310) 301-4863
(310) 301-4865
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0532463
—
CA
01
—
2144099
PK
—
Enumeration date
07/17/2006
Last updated
09/03/2024
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