Organization
EAST LA PHARMACY CORP
Active
Other names
East L.A. Pharmacy, Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LOZANO (OFF. MNGR/ SECRETARY)
(323) 685-5039
Entity
Organization
Contact information
Practice address
4968 WHITTIER BLVD, LOS ANGELES, CA 90022-3130
(323) 685-5039
(323) 685-2840
Mailing address
4968 WHITTIER BLVD, LOS ANGELES, CA 90022-3130
(323) 685-5039
(323) 685-2840
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY54275
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162414
PK
—
Enumeration date
08/04/2016
Last updated
11/17/2016
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