Organization
ANDREW MINH DO
Active
Other names
Baja Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DO (OWNER)
(702) 354-7578
Entity
Organization
Contact information
Practice address
4028 E 7TH ST, LONG BEACH, CA 90804-5307
(562) 433-3800
(562) 433-3900
Mailing address
4028 E 7TH ST, LONG BEACH, CA 90804-5307
(562) 433-3800
(562) 433-3900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50949
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5643639
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/23/2012
Last updated
06/12/2012
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