Organization
PACIFIC PHARMACY INC.
Active
Other names
Pacific Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN UNG R. PH (CEO)
(626) 281-6800
Entity
Organization
Contact information
Practice address
207 S SANTA ANITA AVE, SUITE G-10, SAN GABRIEL, CA 91776-1146
(626) 281-6800
(626) 281-6696
Mailing address
207 S SANTA ANITA AVE, STE. G-10, SAN GABRIEL, CA 91776-1146
(626) 281-6800
(626) 281-6696
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHA467170
CA
3336L0003X
Long Term Care Pharmacy
PHA467170
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA467170
—
CA
Enumeration date
07/23/2006
Last updated
03/12/2025
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