| NPI | 1164042453 |
|---|---|
| Doing Business As | CLOVER CARE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SANG J. LEE President/PIC 213-384-8763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-21 |