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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