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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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