California Pharmacy

NPI 1023171790 - Pharmacist - 183500000X

NPI Details
NPI 1023171790
Enumeration Date 12/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TRACY TRACY
Position PHARMACIST
Phone (323) 777-5853
Fax (323) 777-9465
Practice Location
9304 S BROADWAY
LOS ANGELES CA, 90003-4044, US
Phone (323) 777-5853
Fax (323) 777-9465
Business Location
9304 S BROADWAY
LOS ANGELES CA, 90003-4044, US
Phone (323) 777-5853
Fax (323) 777-9465
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 37066
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According to our database, California Pharmacy NPI is 1023171790, taxonomy code is 183500000X and license number is 37066, license state is located at California. California Pharmacy physically located at 9304 S Broadway, Los Angeles CA, 90003-4044. NPI Number 1033115704 has the healthcare provider type.

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1023171790 NPI number is provided on an as is basis without warranty of any kind. 1023171790 is maintained by the National Plan & Provider Enumeration System. The contents of California Pharmacy are for informational purposes only.