Organization
SMITH PHARMACY INC
Active
Other names
SMITH PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY YAM (OWNER)
(626) 617-9875
Entity
Organization
Contact information
Practice address
1107 N WESTERN AVE, LOS ANGELES, CA 90029-1016
(323) 461-8331
(323) 461-8332
Mailing address
1107 N WESTERN AVE, LOS ANGELES, CA 90029-1016
(323) 461-8331
(323) 461-8332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111830
PK
—
Enumeration date
12/13/2006
Last updated
11/09/2015
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