Organization
PACIFIC PHARMACY SERVICE INC
Active
Other names
Palm Springs Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG PARK (PRESIDENT/PIC)
(760) 327-4881
Entity
Organization
Contact information
Practice address
611 S PALM CANYON DR STE 12, PALM SPRINGS, CA 92264-7453
(760) 327-4881
(760) 322-1807
Mailing address
611 S PALM CANYON DR, SUITE 12, PALM SPRINGS, CA 92264-7213
(760) 327-4881
(760) 322-1807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5645669
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/05/2012
Last updated
01/24/2013
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