Organization
GELSON'S MARKETS
Active
Other names
Gelson's Pharmacy #16
Organization subpart
No
Provider details
NPI number
Authorized official
STEWART EDINGTON (SENIOR DIRECTOR OF PHARMACY)
(310) 761-4510
Entity
Organization
Contact information
Practice address
4520 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2913
(818) 377-4140
(818) 377-4140
Mailing address
PO BOX 512256, LOS ANGELES, CA 90051-0256
(310) 761-4511
(310) 634-0998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
55489
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165997
PK
—
Enumeration date
04/11/2017
Last updated
04/11/2017
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