Organization
MARVIN LIEBLEIN INC
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSHRI PATEL (OWNER)
(909) 895-9260
Entity
Organization
Contact information
Practice address
1400 ATLANTIC AVE, LONG BEACH, CA 90813-2013
(562) 591-4417
(562) 591-0416
Mailing address
1400 ATLANTIC AVE, LONG BEACH, CA 90813-2013
(562) 591-4417
(562) 591-0416
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073539532
—
CA
01
—
2132765
PK
—
Enumeration date
07/15/2006
Last updated
09/02/2020
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