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1265900294
CARRIE OTANI
LOS ANGELES, CA
NPI
1265900294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: CA PHY56935)
Enumeration Date
2018-11-07
Last Update Date
2018-11-07
Business Address
CARRIE OTANI
4561 S CENTINELA AVE
LOS ANGELES, CA 90066-6248
Phone number: 310-822-6354
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Mailing Address
CARRIE OTANI
4561 S CENTINELA AVE
LOS ANGELES, CA 90066-6248
Phone number: 310-822-6354
Copy
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