Mid Wilshire Pharmacy

NPI 1013908458 - Pharmacy - 333600000X

NPI Details
NPI 1013908458
Enumeration Date 11/03/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOHN JOHN
Position PHARMACIST
Phone (323) 653-6080
Fax (323) 653-2503
Practice Location
6317 WILSHIRE BLVD
LOS ANGELES CA, 90048-5602, US
Phone (323) 653-6080
Fax (323) 653-2503
Business Location
6317 WILSHIRE BLVD
LOS ANGELES CA, 90048-5602, US
Phone (323) 653-6080
Fax (323) 653-2503
Toxanomy
Taxonomy Code 333600000X
License State California
License Number PHY36001
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According to our database, Mid Wilshire Pharmacy NPI is 1013908458, taxonomy code is 333600000X and license number is PHY36001, license state is located at California. Mid Wilshire Pharmacy physically located at 6317 Wilshire Blvd, Los Angeles CA, 90048-5602. NPI Number 1033115704 has the healthcare provider type.

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1013908458 NPI number is provided on an as is basis without warranty of any kind. 1013908458 is maintained by the National Plan & Provider Enumeration System. The contents of Mid Wilshire Pharmacy are for informational purposes only.