Organization
P&A RX INC
Active
Other names
Koryo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HYOMIN ANGELA KIM (CEO)
(213) 738-6970
Entity
Organization
Contact information
Practice address
2727 W OLYMPIC BLVD, STE 103, LOS ANGELES, CA 90006-2637
(213) 738-6970
(213) 738-0152
Mailing address
2727 W OLYMPIC BLVD, STE 103, LOS ANGELES, CA 90006-2637
(213) 738-6970
(213) 738-0152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY30972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992716484
—
CA
01
—
PHY60424
PHARMACY PERMIT
CA
Enumeration date
08/10/2006
Last updated
12/20/2024
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