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1750978722
DOUGLAS PARK
CERRITOS, CA
NPI
1750978722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: CA 36088)
Enumeration Date
2020-12-24
Last Update Date
2021-10-01
Business Address
DOUGLAS PARK
13303 SOUTH ST
CERRITOS, CA 90703-7308
Phone number: 562-865-0612
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Mailing Address
DOUGLAS PARK
13303 SOUTH ST
CERRITOS, CA 90703-7308
Phone number: 562-865-0612
Copy
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