Organization
HARTLEY MEDICAL CENTER PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A STUART (PRSIDENT)
(562) 595-7548
Entity
Organization
Contact information
Practice address
113 W VICTORIA ST, LONG BEACH, CA 90805
(562) 595-7548
(562) 595-9855
Mailing address
113 W VICTORIA ST, LONG BEACH, CA 90805
(562) 595-7548
(562) 595-9855
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY20643
CA
3336C0004X
Compounding Pharmacy
Primary
PH20643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA206430
—
CA
Enumeration date
02/02/2007
Last updated
01/08/2009
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