Organization
PHNOM PICH PHARMACY INC
Active
Other names
PHNOM PICH PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
PUTHIK SANUI (SECRETARY)
(562) 438-3324
Entity
Organization
Contact information
Practice address
2338 E ANAHEIM ST, SUITE 100, LONG BEACH, CA 90804-5730
(562) 438-3324
(562) 987-1801
Mailing address
2338 E ANAHEIM ST, SUITE 100, LONG BEACH, CA 90804-5730
(562) 438-3324
(562) 987-1801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992188
PK
—
05
—
PHA47330
—
CA
Enumeration date
11/08/2006
Last updated
09/19/2025
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