| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033678248 | KOAM PHARMACY LTC INC | 18102 PIONEER BLVD STE 101 | ARTESIA | CA | 907013997 | |||
| 1518038215 | KOAM PHARMACY INC | 18102 PIONEER BLVD | ARTESIA | CA | 907013953 | |||
| 1003018524 | KIM | KWANG JA | 18102 PIONEER BLVD STE 101 | ARTESIA | CA | 907013997 |