Organization
PRAMUKH MANAGEMENT INC
Active
Other names
dba VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH PATEL (PARTNER)
(310) 540-4441
Entity
Organization
Contact information
Practice address
1708 S CATALINA AVE, REDONDO BEACH, CA 90277-5504
(310) 540-4441
(310) 540-5274
Mailing address
1708 S CATALINA AVE, REDONDO BEACH, CA 90277-5504
(310) 540-4441
(310) 540-5274
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY48668
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0573673
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA222400
—
CA
Enumeration date
08/10/2006
Last updated
12/27/2007
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