Organization
ANAHEIM PHARMACY, LLC
Active
Other names
Anaheim Pharmacy (LTC)
Organization subpart
No
Provider details
NPI number
Authorized official
JAY KIM (MANAGING MEMBER)
(909) 464-0300
Entity
Organization
Contact information
Practice address
1211 W LA PALMA AVE STE 102, ANAHEIM, CA 92801-2809
(714) 442-1141
(714) 442-1142
Mailing address
1211 W LA PALMA AVE STE 102, ANAHEIM, CA 92801-2809
(714) 442-1141
(714) 442-1142
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
09/29/2025
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