Organization
PETER KWOK
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KWOK RPH (OWNER PHARMACIST)
(559) 255-3301
Entity
Organization
Contact information
Practice address
4845 E BUTLER AVE, FRESNO, CA 93727-5015
(559) 255-3301
(559) 255-2912
Mailing address
4845 E BUTLER AVE, FRESNO, CA 93727-5015
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY32411
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0585325
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA34110
—
CA
Enumeration date
08/31/2006
Last updated
03/07/2023
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