Organization
LONG BEACH PRESCRIPTION PHARMACY INC
Active
Other names
LONG BEACH PRESCRIPTION PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THAO THI NGUYEN (PIC)
(562) 595-5707
Entity
Organization
Contact information
Practice address
2690 PACIFIC AVE, STE 100, LONG BEACH, CA 90806-2657
(562) 595-5707
(562) 424-3358
Mailing address
2690 PACIFIC AVE, STE 100, LONG BEACH, CA 90806-2657
(562) 595-5707
(562) 424-3358
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0582216
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA458750
—
CA
Enumeration date
08/31/2006
Last updated
06/30/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us