Organization
SPRING PARK PHARMACY INC
Active
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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