Provider Demographics
NPI:1114547650
Name:L & L RX INC
Entity Type:Organization
Organization Name:L & L RX INC
Other - Org Name:PRIME ONE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YING
Authorized Official - Middle Name:ANNIE
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:626-872-0955
Mailing Address - Street 1:1118 S GARFIELD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4796
Mailing Address - Country:US
Mailing Address - Phone:626-872-0955
Mailing Address - Fax:
Practice Address - Street 1:1118 S GARFIELD AVE STE 101
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4796
Practice Address - Country:US
Practice Address - Phone:626-872-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-24
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy