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1013908458
MID WILSHIRE PHARMACY
LOS ANGELES, CA
NPI
1013908458
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Entity Type
Organization
Authorized Contact
JOHN GONG
Pharmacist
323-653-6080
Organization Subpart ?
No
Primary Taxonomy
333600000X Pharmacy
(Licence: CA phy36001)
Enumeration Date
2005-11-03
Last Update Date
2020-08-22
Business Address
MID WILSHIRE PHARMACY
6317 WILSHIRE BLVD
LOS ANGELES, CA 90048-5602
Phone number: 323-653-6080
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Mailing Address
MID WILSHIRE PHARMACY
6317 WILSHIRE BLVD
LOS ANGELES, CA 90048-5602
Phone number: 323-653-6080
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