MRS. Annie Chacko

NPI #1376881797 in Lynwood, California

Provider Information

NPI Number: 1376881797
Entity Type: Individual
Name: MRS. Annie Chacko
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 18, 2013
Last Updated: Jan 18, 2013

Practice Location

Address: 3737 MARTIN LUTHER KING JR BLVD STE 101
City: Lynwood
State: California
ZIP Code: 90262-3525
Phone: (310) 537-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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