# ANAHEIM PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Anaheim Pharmacy (LTC)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114786241
- **Authorized official:** JAY KIM (MANAGING MEMBER)
- **Authorized official phone:** (909) 464-0300

## Contact information

- **Practice address:** 1211 W LA PALMA AVE STE 102, ANAHEIM, CA 92801-2809
- **Practice address phone:** (714) 442-1141
- **Practice address fax:** (714) 442-1142
- **Mailing address:** 1211 W LA PALMA AVE STE 102, ANAHEIM, CA 92801-2809
- **Mailing address phone:** (714) 442-1141
- **Mailing address fax:** (714) 442-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2024
- **Last updated:** 09/29/2025