Organization
REINA SY
Active
Other names
RTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REINA SY (PHARMACIST)
(323) 459-2264
Entity
Organization
Contact information
Practice address
7220 ROSEMEAD BLVD, STE 202-7, SAN GABRIEL, CA 91775-1377
(323) 344-1815
Mailing address
4526 EAGLE ROCK BLVD, STE 4, LOS ANGELES, CA 90041-3285
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
46995
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5616858
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/07/2005
Last updated
08/01/2012
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