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
- State
- California
- ZIP Code
- 90291-5217
- Phone
- (310) 399-2436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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