Organization
GOLDEN COVE PHARMACY AND MEDICAL SUPPLY INC
Active
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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