Clover Care Pharmacy INC
Pharmacy, Long Term Care Pharmacy in Los Angeles, CA. Organization (NPI-2).
NPI number1164042453
StatusActive
Last updated in NPPESApr 21, 2020
Details
- NPI
- 1164042453
- Entity type
- Organization (NPI-2)
- Legal business name
- Clover Care Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 21, 2020
- Last updated
- Apr 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Clover Care Pharmacy INC (Doing Business As)
Practice location
266 S Harvard Blvd Ste 140Los Angeles, CA 90004-4389
Phone 213-384-8763 · Fax 213-384-7521
Mailing address
266 S Harvard Blvd Ste 140Los Angeles, CA 90004-4389
Phone 213-384-8763 · Fax 213-384-7521
Authorized official
Sang J. Lee
President/Pic
2133848763
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