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Manuel Degracia Idio JR.
Pharmacist in Los Angeles, California
NPI 1174936397

Manuel Degracia Idio JR. is a Pharmacist based in Los Angeles, CA. Manuel Degracia Idio JR. practices in Los Angeles, CA. The NPI Number for Manuel Degracia Idio JR. is 1174936397 and holds a License No. 60425 (California).

The current practice location address for Manuel Degracia Idio JR. is 6130 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 323-467-4201 and via fax at 323-467-3550.

Location: 6130 W Sunset Blvd, Los Angeles, CA, 90028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174936397
Provider Name
Manuel Degracia Idio JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6130 W Sunset Blvd, Los Angeles, CA, 90028
Phone Number
323-467-4201
Fax Number
323-467-3550
Provider Enumeration Date
06/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6130 W Sunset Blvd
City
Los Angeles
State
California
Zip
90028-6424
Phone Number
323-467-4201
Fax Number
323-467-3550
person
Provider Business Mailing Address Details
Address
6130 W Sunset Blvd
City
Los Angeles
State
California
Zip
90028-6424
Phone Number
323-467-4201
Fax Number
323-467-3550
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
60425 (California)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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