Organization
LONG BEACH MEMORIAL MEDICAL
Active
Other names
Todd Cancer Pavilion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FINCH (CHIEF COMPLIANCE OFFICER)
(714) 377-3218
Entity
Organization
Contact information
Practice address
2810 LONG BEACH BLVD, LONG BEACH, CA 90806-1558
(562) 933-1844
(562) 933-1869
Mailing address
450 E SPRING ST STE 11, LONG BEACH, CA 90806-1625
(562) 933-2273
(562) 933-2907
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
53582
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158354
PK
—
Enumeration date
03/11/2016
Last updated
08/02/2023
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