Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manuel Degracia Idio Jr.

Individual provider Pharmacist · NPI 1174936397

Manuel Degracia Idio Jr. is a Pharmacist in Los Angeles, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

6130 W Sunset Blvd
Los Angeles, CA 90028-6424
Phone: (323) 467-4201
Fax: (323) 467-3550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 60425 (CA)

Record details

NPI number1174936397
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESJune 5, 2014

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