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Provider Information for 1346406998


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TOWNSGATE ENTERPRISES LLC

Other Names:  
Doing Business As: 
PAULS PHARMACY

Organization Subpart: NO

NPI: 1346406998
Last Updated: 2008-08-07
Certification Date:

Details

NameValue
NPI1346406998
Enumeration Date2008-08-04
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: GORDON BENSON
Title: Managing Member
Phone: 8187880915
Mailing Address 2900 TOWNSGATE RD
STE 117
WESTLAKE VILLAGE, CA 91361-3001
United States

Phone: | Fax:
 
Primary Practice Address 2900 TOWNSGATE RD
STE 117
WESTLAKE VILLAGE, CA 91361-3001
United States

Phone: 805-778-9272 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)5631189NCPDP Provider Identification Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyCAPHY49027