Organization
SUPER MARKET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE DE LA ROSA RPH (OWNER)
(323) 773-6538
Entity
Organization
Contact information
Practice address
5985 FLORENCE AVE STE G, BELL GARDENS, CA 90201-6748
(323) 773-6538
(323) 773-0448
Mailing address
5985 FLORENCE AVE STE G, BELL GARDENS, CA 90201-6748
(323) 773-6538
(323) 773-0448
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHA36988
CA
Other
Enumeration date
11/06/2014
Last updated
11/07/2014
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