Organization
PACIFICA PHARMACY
Active
Organization
PACIFICA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK TRAN (RPH)
(714) 887-9500
Entity
Organization
Contact information
Practice address
18682 BEACH BLVD, STE 115, HUNTINGTON BEACH, CA 92648-2048
(714) 887-9500
(714) 887-9400
Mailing address
18682 BEACH BLVD, STE 115, HUNTINGTON BEACH, CA 92648-2048
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5614082
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA467150
—
CA
Enumeration date
08/31/2006
Last updated
02/01/2008
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