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Organization
VERNON J KNUDSON
Active
Organization
VERNON J KNUDSON
Active
Other names
Axminster Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON J KNUDSON (OWNER)
(323) 294-7153
Entity
Organization
Contact information
Practice address
4324 W SLAUSON AVE, LOS ANGELES, CA 90043-2808
(323) 294-7153
(323) 294-7155
Mailing address
4324 W SLAUSON AVE, LOS ANGELES, CA 90043-2808
(323) 294-7153
(323) 294-7155
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHY 19085
CA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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