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Mid Wilshire Pharmacy
Pharmacy in Los Angeles, California
NPI 1013908458

Mid Wilshire Pharmacy is a Pharmacy based in Los Angeles, CA. Mid Wilshire Pharmacy practices in Los Angeles, CA. The NPI Number for Mid Wilshire Pharmacy is 1013908458 and holds a License No. PHY36001 (California).

The current practice location address for Mid Wilshire Pharmacy is 6317 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 323-653-6080 and via fax at 323-653-2503.

Location: 6317 Wilshire Blvd, Los Angeles, CA, 90048-5602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013908458
Provider Name
Mid Wilshire Pharmacy
Credential
Provider Entity Type
Organization
Address
6317 Wilshire Blvd, Los Angeles, CA, 90048-5602
Phone Number
323-653-6080
Fax Number
323-653-2503
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHA360010 05 CA
0599273 01 NABP
institution
Provider Business Practice Location Address Details
Address
6317 Wilshire Blvd
City
Los Angeles
State
California
Zip
90048-5602
Phone Number
323-653-6080
Fax Number
323-653-2503
person
Provider Business Mailing Address Details
Address
6317 Wilshire Blvd
City
Los Angeles
State
California
Zip
90048-5602
Phone Number
323-653-6080
Fax Number
323-653-2503
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY36001 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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