Juana E Valdez
Pharmacy, Community/Retail Pharmacy in Lynwood, CA. Organization (NPI-2).
NPI number1528283348
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1528283348
- Entity type
- Organization (NPI-2)
- Legal business name
- Juana E Valdez
- Organization subpart
- No
- Enumeration date
- Apr 16, 2007
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY47170 | CA | Yes |
Other names
- Santa Elena Pharmacy (Doing Business As)
Practice location
9910 Long Beach Blvd Ste FLynwood, CA 90262-1561
Phone 323-249-8497 · Fax 323-249-0038
Mailing address
9910 Long Beach Blvd Ste FLynwood, CA 90262-1561
Phone 323-249-8497 · Fax 323-249-0038
Authorized official
Juana E Valdez
Owner
3232498497
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