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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