Organization
GOLDEN COVE PHARMACY AND MEDICAL SUPPLY INC
Active
Other names
GOLDEN COVE PHARMACY AND HOME HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WISSA (PRESIDENT/PIC)
(310) 750-6082
Entity
Organization
Contact information
Practice address
31238 PALOS VERDES DR W, RANCHO PALOS VERDES, CA 90275-5361
(310) 750-6082
(310) 750-6083
Mailing address
31238 PALOS VERDES DR W, RANCHO PALOS VERDES, CA 90275-5361
(310) 750-6082
(310) 750-6083
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128525
PK
—
Enumeration date
01/20/2011
Last updated
02/14/2017
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