Gordon Wong

LBN: Knolls Pharmacy
Gordon Wong is an health care organization with primary practice located at 16630 Marquez Ave , Pacific Palisades CA 90272-3233. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Knolls Pharmacy can be contacted via phone (310) 454-6000, or through Wong, Gordon via phone (310) 454-6000.

Contact Information

Primary practice address
16630 Marquez Ave Pacific Palisades CA 90272-3233
Phone: (310) 454-6000
Fax: (310) 454-0605
Website:
Map and Directions
Authorized official contact:
Name: Wong, Gordon PHARMD
Phone: (310) 454-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY36924 California

Profile Details

NPI number 1124157904
LBN Legal business name Knolls Pharmacy
DBA Doing business as Gordon Wong
Authorized official Wong, Gordon PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Nov 17th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124157904 NPPES
Other 1994466 PK

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