| NPI | 1902350150 |
|---|---|
| Doing Business As | EAST L.A. PHARMACY, CORP. |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LOZANO Off. Mngr/ Secretary 323-685-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY54275) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-11-17 |