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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