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Organization
MS CYPRESS 392 INC
Active
Organization
MS CYPRESS 392 INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN (MEDICAID MEDICARE BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
9963 WALKER ST, CYPRESS, CA 90630-3827
(714) 952-3003
(714) 952-1211
Mailing address
9963 WALKER ST, CYPRESS, CA 90630-3827
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY45306
CA
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0547464
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
09/11/2025
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