Lac Harbor Ucla Fmc Pharmacy

NPI 1205950524 - Pharmacy - 3336C0002X

NPI Details
NPI 1205950524
Enumeration Date 03/19/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MIGUEL MIGUEL
Position ACTING CHIEF ADMINISTRATIVE OFFICER
Phone (310) 534-6246
Fax (310) 326-7054
Practice Location
1403 LOMITA BLVD
HARBOR CITY CA, 90710-2076, US
Phone (310) 534-6246
Fax (310) 326-7054
Business Location
1000 W CARSON ST
BOX 30
TORRANCE CA, 90502-2004, US
Phone (310) 534-6246
Fax (310) 326-7054
Toxanomy
Taxonomy Code 3336C0002X
License State California
License Number PHE45204
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According to our database, Lac Harbor Ucla Fmc Pharmacy NPI is 1205950524, taxonomy code is 3336C0002X and license number is PHE45204, license state is located at California. Lac Harbor Ucla Fmc Pharmacy physically located at 1403 Lomita Blvd, Harbor City CA, 90710-2076. NPI Number 1033115704 has the healthcare provider type.

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1205950524 NPI number is provided on an as is basis without warranty of any kind. 1205950524 is maintained by the National Plan & Provider Enumeration System. The contents of Lac Harbor Ucla Fmc Pharmacy are for informational purposes only.