Douglas W. Mundy
Douglas W. Mundy is a Community/Retail Pharmacy in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
2074 Lake Tahoe Blvd Ste #1South Lake Tahoe, CA 96150
Phone: (530) 541-0870
Fax: (530) 541-0884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY22386 (CA) |
|---|
Record details
| NPI number | 1841384336 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglas Mundy — Owner/Pharmacist · (530) 541-0870 |
| Other names | Tahoe Valley Pharmacy |
| NPI enumerated | October 2, 2006 |
| Last updated in NPPES | July 16, 2008 |
| Mailing address | 2074 Lake Tahoe Blvd., Ste. #1, South Lake Tahoe, CA 96150 |
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