Organization
BWWNGC INC
Active
Other names
Burns Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE WOODS R.PH. (PRESIDENT)
(858) 459-4285
Entity
Organization
Contact information
Practice address
7824 GIRARD AVE, LA JOLLA, CA 92037-4230
(858) 459-4285
(858) 459-9521
Mailing address
7824 GIRARD AVE, LA JOLLA, CA 92037-4230
(858) 459-4285
(858) 459-9521
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
PHY37018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0514845
NABP
—
05
—
PHA370180
—
CA
01
—
PHY37018
STATE PHARMACY LICENSE
CA
Enumeration date
09/20/2006
Last updated
05/05/2011
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