Martin Luther King Jr. Multiservice Ambulatory Care Center
Clinic Pharmacy
12021 Wilmington Ave, Room# B068, Los Angeles
California, 90059-3019
310-668-3966 Martin Luther King Jr. Multiservice Ambulatory Care Center is not a DME supplier for medicare equipments and products.
Martin Luther King Jr. Multiservice Ambulatory Care Center is a Clinic Pharmacy in Los Angeles, California. It is located at 12021 Wilmington Ave, Room# B068, Los Angeles and it's customer support contact number is 310-668-3966. The authorized person of Martin Luther King Jr. Multiservice Ambulatory Care Center is Ms. Carolyn S. Clark who is Ceo of the pharmacy and her contact number is 310-668-5201. Active license number of Martin Luther King Jr. Multiservice Ambulatory Care Center is PHE 14221 for Clinic Pharmacy in California.
Martin Luther King Jr. Multiservice Ambulatory Care Center is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Martin Luther King Jr. Multiservice Ambulatory Care Center type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Martin Luther King Jr. Multiservice Ambulatory Care Center |
| Type: | Clinic Pharmacy |
| Location: | 12021 Wilmington Ave, Room# B068, Los Angeles, California, 90059-3019 |
| Phone: | 310-668-3966 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Carolyn S. Clark |
| Position: | Ceo |
| Contact Number: | 310-668-5201 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1629215504 |
| NPI Enumeration Date: | 14 Jan, 2009 |
| NPI Last Update On: | 14 Jan, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Martin Luther King Jr. Multiservice Ambulatory Care Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | PHE 14221 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12021 Wilmington Ave, Los Angeles, California |
| Zip: | 90059-3019 |
| Phone Number: | 310-668-4321 |
Patients can reach Martin Luther King Jr. Multiservice Ambulatory Care Center at
12021 Wilmington Ave, Room# B068, Los Angeles, California or can
call on customer care at 310-668-3966.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.