Organization
LONG BEACH MEMORIAL MEDICAL
Active
Organization
LONG BEACH MEMORIAL MEDICAL
Active
Other names
MILLER CHILDRENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FINCH (CHIEF COMPLIANCE OFFICER)
(714) 377-3218
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806
(562) 933-0330
(562) 933-2014
Mailing address
PO BOX 20359, LONG BEACH, CA 90801-3359
(562) 933-0273
(562) 933-1794
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY22489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001264
PK
—
05
—
PHA215000
—
CA
Enumeration date
08/14/2006
Last updated
08/02/2023
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