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GOLDEN COVE PHARMACY AND MEDICAL SUPPLY INC NPI 1740585835


NPI Information

NPI: 1740585835
Provider Name: GOLDEN COVE PHARMACY AND MEDICAL SUPPLY INC

Doing Business As: GOLDEN COVE PHARMACY AND HOME HEALTHCARE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2027564

Address:
31238 PALOS VERDES DR W
RANCHO PALOS VERDES, CA
ZIP 90275
Phone: (310) 750-6082
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GOLDEN COVE PHARMACY AND MEDICAL SUPPLY INC is a community/retail pharmacy pharmacy in Rancho Palos Verdes, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GOLDEN COVE PHARMACY AND MEDICAL SUPPLY INC NPI is 1740585835. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Cove Pharmacy And Home Healthcare.

The provider's business location address is:

31238 PALOS VERDES DR W
RANCHO PALOS VERDES, CA
ZIP 90275-361
Phone: (310) 750-6082
Fax: (310) 750-6083

The provider's authorized official is George Wissa .
The authorized official title is President/pic and has the following contact phone number (310) 750-6082.

The CLIA number assigned to this NPI record is 05D2027564 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2011 and was last updated on 2/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy50546CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12128525OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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