LA PHARMACIE, INC
1152 Via Verde
San Dimas, CA 91773
909-599-3444
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY37115 |
Y | 3336C0003X | Suppliers - Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1801893466 | CA | MEDICAID | |
PHA371150 | CA | MEDICAID |