Corona Drug, Inc.

NPI 1063407252 - Pharmacy - 333600000X

NPI Details
NPI 1063407252
Enumeration Date 09/14/2005
Last Updated 11/25/2015
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name ERNEST M ERNEST
Position PRESIDENT/PIC
Phone (213) 749-4174
Fax (213) 749-8818
Practice Location
2105 S SAN PEDRO ST
LOS ANGELES CA, 90011-1125, US
Phone (213) 749-4174
Fax (213) 749-8818
Business Location
2105 S SAN PEDRO ST
LOS ANGELES CA, 90011-1125, US
Phone (213) 749-4174
Fax (213) 749-8818
Toxanomy
Taxonomy Code 333600000X
License State California
License Number PHY46998
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According to our database, Corona Drug, Inc. NPI is 1063407252, taxonomy code is 333600000X and license number is PHY46998, license state is located at California. Corona Drug, Inc. physically located at 2105 S San Pedro St, Los Angeles CA, 90011-1125. NPI Number 1033115704 has the healthcare provider type.

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1063407252 NPI number is provided on an as is basis without warranty of any kind. 1063407252 is maintained by the National Plan & Provider Enumeration System. The contents of Corona Drug, Inc. are for informational purposes only.