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Organization

GILBERT MATHIEU

Active
Other names
Handler Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GILBERT ANTHONY MATHIEU RPH (OWNER PHARMACIST)
(323) 299-9812
Entity
Organization

Contact information

Practice address
4729 S WESTERN AVE, LOS ANGELES, CA 90062-2321
(323) 299-9812
(323) 295-5481
Mailing address
4729 S WESTERN AVE, LOS ANGELES, CA 90062-2321
(323) 299-9812
(323) 295-5481

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY17947
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHA179470
CA
Enumeration date
05/09/2007
Last updated
07/03/2008
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