Organization
THOMAS HARRISON PRICE
Active
Organization
THOMAS HARRISON PRICE
Active
Other names
PALISADES VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PRICE RPH (RPH AND OWNER)
(310) 454-6505
Entity
Organization
Contact information
Practice address
881 ALMA REAL DR, STE 117, PACIFIC PALISADES, CA 90272-3761
(310) 454-6505
(310) 459-7352
Mailing address
881 ALMA REAL DR, STE 117, PACIFIC PALISADES, CA 90272-3761
(310) 454-6505
(310) 459-7352
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0575211
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA448860
—
CA
Enumeration date
02/21/2007
Last updated
09/30/2010
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