Organization
BEACON DRUG CO. #6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SONG PHARM. D (PHARAMICIST IN CHARGE)
(310) 834-3457
Entity
Organization
Contact information
Practice address
1303 N AVALON BLVD, WILMINGTON, CA 90744-2603
(310) 834-3457
(310) 834-1170
Mailing address
1303 N AVALON BLVD, WILMINGTON, CA 90744-2603
(310) 834-3457
(310) 834-1170
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY354220
CA
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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