# VERNON J KNUDSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Axminster Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023378411
- **Authorized official:** VERNON J KNUDSON (OWNER)
- **Authorized official phone:** (323) 294-7153

## Contact information

- **Practice address:** 4324 W SLAUSON AVE, LOS ANGELES, CA 90043-2808
- **Practice address phone:** (323) 294-7153
- **Practice address fax:** (323) 294-7155
- **Mailing address:** 4324 W SLAUSON AVE, LOS ANGELES, CA 90043-2808
- **Mailing address phone:** (323) 294-7153
- **Mailing address fax:** (323) 294-7155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PHY 19085 | CA | Yes |

## Other

- **Enumeration date:** 05/21/2012
- **Last updated:** 05/21/2012