Organization
ANAHEIM PLAZA PHARMACY INC
Active
Other names
ANAHEIM MEDICAL PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON LEW (PRES)
(714) 220-0720
Entity
Organization
Contact information
Practice address
184 E LIBERTY AVE, ANAHEIM, CA 92801-1011
(714) 220-0720
(714) 525-4100
Mailing address
184 E LIBERTY AVE, ANAHEIM, CA 92801
(714) 220-0720
(714) 525-4100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
52498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306905401
—
CA
01
—
2003108
PK
—
Enumeration date
12/06/2006
Last updated
09/19/2025
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