Knolls Pharmacy
Pharmacy, Community/Retail Pharmacy in Pacific Palisades, CA. Organization (NPI-2).
NPI number1124157904
StatusActive
Last updated in NPPESNov 17, 2017
Details
- NPI
- 1124157904
- Entity type
- Organization (NPI-2)
- Legal business name
- Knolls Pharmacy
- Organization subpart
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Nov 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY36924 | CA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Gordon Wong (Other Name)
Practice location
16630 Marquez AvePacific Palisades, CA 90272-3233
Phone 310-454-6000 · Fax 310-454-0605
Mailing address
16630 Marquez AvePacific Palisades, CA 90272-3233
Phone 310-454-6000 · Fax 310-454-0605
Authorized official
Gordon Wong
Owner Pharmacist
3104546000
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