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NPI Code Detail

MEDICARE: RICHARD D'ASSALENAUX PHARMD

MEDICARE: RICHARD D'ASSALENAUX PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist38033CA

General Provider Information

NPI Number : 1265948129
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD D'ASSALENAUX PHARMD
Provider Business Mailing Address
First Line : 590 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-2115
Country : US
Telephone Number : 323-454-5024
Fax Number : 323-661-0935
Provider Business Practice Location Address
First Line : 590 N VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-2115
Country : US
Telephone Number : 323-454-5024
Fax Number : 323-661-0935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2017
Last Update Date : 12/14/2017

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Directions to “ RICHARD D'ASSALENAUX PHARMD” Practice Location

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