Organization
PHNOM PICH PHARMACY INC
Active
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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