Organization
SEASIDE PRESCRIPTION PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH R SEIBERT RPH (PRESIDENT)
(310) 833-3551
Entity
Organization
Contact information
Practice address
599 W 7TH ST, SAN PEDRO, CA 90731-3115
(310) 833-3551
(310) 833-3552
Mailing address
599 W 7TH ST, SAN PEDRO, CA 90731-3115
(310) 833-3551
(310) 833-3552
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY43976
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA439760
—
CA
01
—
PHY43976
PHARMACY LIC #
CA
Enumeration date
09/16/2005
Last updated
03/07/2023
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