Organization
PHNOM PICH PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EAM HENG HONG (PRESIDENT)
(562) 438-3324
Entity
Organization
Contact information
Practice address
2338 E ANAHEIM ST STE 100, LONG BEACH, CA 90804-5735
(562) 438-3324
(562) 987-1801
Mailing address
2338 E ANAHEIM ST STE 100, LONG BEACH, CA 90804-5735
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY37082
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0507953
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA370820
—
CA
Enumeration date
08/31/2006
Last updated
07/27/2007
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