Organization
PHI PHNOM PHARMACY INC
Active
Organization
PHI PHNOM PHARMACY INC
Active
Other names
New Phnom Pich Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHI TIEN NGUYEN PHARMD (PRESIDENT)
(562) 434-7559
Entity
Organization
Contact information
Practice address
2100 E ANAHEIM ST, STE A, LONG BEACH, CA 90804-3408
(562) 434-7559
(562) 434-3849
Mailing address
2100 E ANAHEIM ST, STE A, LONG BEACH, CA 90804-3408
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0526802
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA407540
—
CA
Enumeration date
09/05/2006
Last updated
04/04/2022
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