Organization
SEAL BEACH DRUG
Active
Other names
BOBS REXALL DRUG Seal Beach Rexall
Organization subpart
No
Provider details
NPI number
Authorized official
BOB GRIFFITH (OWNER/PHARMACIST)
(562) 430-0549
Entity
Organization
Contact information
Practice address
141 MAIN ST, SEAL BEACH, CA 90740-6316
(562) 430-0549
(562) 430-1976
Mailing address
141 MAIN ST, SEAL BEACH, CA 90740-6316
(562) 430-0549
(562) 430-1976
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY16812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA168120
MEDI-CAL
CA
Enumeration date
10/25/2006
Last updated
06/26/2008
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