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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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