DERRICK IM

LOS ANGELES, CA
NPI1538551437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  75199)
Enumeration Date2015-03-02
Last Update Date2020-11-18
Business Address
DERRICK IM
5837 S CENTRAL AVE
LOS ANGELES, CA 90001
Phone number: 323-233-2493
Mailing Address
DERRICK IM
5837 S CENTRAL AVE
LOS ANGELES, CA 90001-1127
Phone number: 323-233-2493
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