Organization
MS CYPRESS 392 INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN (MEDICAID MEDICARE BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
9963 WALKER ST, CYPRESS, CA 90630-3827
(714) 952-3003
(714) 952-1211
Mailing address
9963 WALKER ST, CYPRESS, CA 90630-3827
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY45306
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0547464
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
09/11/2025
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