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Organization

PETER KWOK-JEFF LUM PARTNERSHIP

Active
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Organization

PETER KWOK-JEFF LUM PARTNERSHIP

Active
Other names
Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
PETER KIM KWOK PHARM.D. (PARTNER)
(559) 268-8258
Entity
Organization

Contact information

Practice address
219 E OLIVE AVE, FRESNO, CA 93728-3129
(559) 268-8258
(559) 268-1807
Mailing address
219 E OLIVE AVE, FRESNO, CA 93728-3129

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY41280
CA
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0576453
OTHER ID NUMBER-COMMERCIAL NUMBER
05
PHA412800
CA
Enumeration date
08/31/2006
Last updated
03/07/2023
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