1010 Pharmacy
Preferred Provider Organization in Los Angeles, CA. Organization (NPI-2).
NPI number1093157786
StatusActive
Last updated in NPPESSep 8, 2015
Details
- NPI
- 1093157786
- Entity type
- Organization (NPI-2)
- Legal business name
- 1010 Pharmacy
- Organization subpart
- No
- Enumeration date
- Jul 23, 2013
- Last updated
- Sep 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | 51478 | CA | Yes |
Other names
- 1010 Pharmacy (Doing Business As)
Practice location
1010 Wilshire BlvdSuite 113
Los Angeles, CA 90017
Phone 213-784-9499 · Fax 213-402-5260
Mailing address
1010 Wilshire BlvdSuite 113
Los Angeles, CA 90017
Phone 213-784-9499 · Fax 213-402-5260
Authorized official
Nicholas Thomas
President
2137849499
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