Organization
ASCENCION INC
Active
Other names
LOS OSOS REXALL DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY TEWELL (PRESIDENT)
(805) 528-1017
Entity
Organization
Contact information
Practice address
989 LOS OSOS VALLEY RD, LOS OSOS, CA 93402-3205
(805) 528-1017
(805) 528-1915
Mailing address
989 LOS OSOS VALLEY RD, LOS OSOS, CA 93402-3205
(805) 528-1017
(805) 528-1915
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY22201
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115987
PK
—
05
—
PHA206500
—
CA
Enumeration date
08/31/2006
Last updated
06/28/2016
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