Organization
SPRING PARK PHARMACY INC
Active
Other names
Mission Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AHN (PRESIDENT)
(760) 757-1212
Entity
Organization
Contact information
Practice address
2201 MISSION AVE, OCEANSIDE, CA 92058-2313
(760) 757-1212
(760) 757-8870
Mailing address
6226 E SPRING ST, SUITE 140, LONG BEACH, CA 90815-1423
(562) 420-1303
(760) 757-8870
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127494
PK
—
Enumeration date
11/08/2006
Last updated
05/21/2013
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