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 |