Organization
TOWNSGATE ENTERPRISES LLC
Active
Other names
Pauls Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON BENSON (MANAGING MEMBER)
(818) 788-0915
Entity
Organization
Contact information
Practice address
2900 TOWNSGATE RD, STE 117, WESTLAKE VILLAGE, CA 91361-3001
(805) 778-9272
Mailing address
2900 TOWNSGATE RD, STE 117, WESTLAKE VILLAGE, CA 91361-3001
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5631189
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/04/2008
Last updated
08/07/2008
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