Leo's Catalina Drug Store Inc.

NPI #1134105497 in Avalon, California

Provider Information

NPI Number: 1134105497
Entity Type: Organization
Organization Name: Leo's Catalina Drug Store Inc.
Primary Specialty: Pharmacist
Enumeration Date: Dec 19, 2005
Last Updated: Oct 19, 2017

Practice Location

Address: 401 CRESCENT AVE.
City: Avalon
State: California
ZIP Code: 90704-1543
Phone: (310) 510-0189

Authorized Official

Name: BRYCE NOLL
Title: DIRECTOR
Phone: (310) 510-0189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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