Boonam Shin
Boonam Shin is a Pharmacy in Montebello, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
111 W Beverly Blvd Ste BMontebello, CA 90640-4312
Phone: (323) 724-8111
Fax: (323) 724-1754
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY41023 (CA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1821137118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Boonam Shin — Owner · (323) 742-8111 |
| Other names | 111 Pharmacy |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | May 27, 2011 |
| Mailing address | 111 W Beverly Blvd, Ste B, Montebello, CA 90640-4312 |
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