# ANAHEIM PLAZA PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANAHEIM MEDICAL PLAZA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306905401
- **Authorized official:** SHANNON LEW (PRES)
- **Authorized official phone:** (714) 220-0720

## Contact information

- **Practice address:** 184 E LIBERTY AVE, ANAHEIM, CA 92801-1011
- **Practice address phone:** (714) 220-0720
- **Practice address fax:** (714) 525-4100
- **Mailing address:** 184 E LIBERTY AVE, ANAHEIM, CA 92801
- **Mailing address phone:** (714) 220-0720
- **Mailing address fax:** (714) 525-4100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 52498 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1306905401 | — | CA |
| 01 | — | 2003108 | PK | — |