Organization
GELSONS MARKETS
Active
Other names
Gelson's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCDOUGALL (PRESIDENT)
(818) 906-5721
Entity
Organization
Contact information
Practice address
25636 CROWN VALLEY PKWY, LADERA RANCH, CA 92694-0464
(949) 364-1914
(949) 364-1833
Mailing address
25636 CROWN VALLEY PKWY, LADERA RANCH, CA 92694-0464
(949) 364-1914
(949) 364-1833
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155566
PK
—
Enumeration date
07/02/2006
Last updated
06/16/2016
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