Brian Ly

NPI #1053823351 in Venice, California

Provider Information

NPI Number
1053823351
Entity Type
Individual
Name
Brian Ly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 27, 2017
Last Updated
Oct 27, 2017

Practice Location

Address
255 MAIN ST
City
Venice
ZIP Code
90291-5217
Phone
(310) 399-2436

Specialties & Taxonomy Codes

Specialty
Pharmacist

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