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Leo's Catalina Drug Store Inc.

Leo's Catalina Drug Store Inc. is a health care provider in Avalon, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 401 Crescent Ave., Avalon, CA 90704-1543, US
Practice Location Phone310-510-0189
Practice Location Fax310-510-2585
Legal Business NameLEO'S CATALINA DRUG STORE INC.
NPI ?1134105497
Entity TypeOrganization
Enumeration Date ? Dec 19, 2005
Last Update Date ? Oct 19, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Leo's Catalina Drug Store Inc.

SpecialtySpecializationLicenseLicense State
Pharmacist PHY46830California

legacy-id-icon Legacy Provider IDs of Leo's Catalina Drug Store Inc.

Provider IdIssuer StateIssuer TypeIssuer
PHA468300CaliforniaMedicaid

official-icon Authorized Official of Leo's Catalina Drug Store Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Leo's Catalina Drug Store Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Bryce Noll
Authorized Official Title/PositionDIRECTOR
Authorized Official Phone Number310-510-0189