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Organization

PACIFIC PHARMACY SERVICE INC

Active
Other names
Medicine Shoppe
Organization subpart
No

Provider details

NPI number
Authorized official
SUNG PARK RPH (OWNER PHARMACIST)
(760) 327-4881
Entity
Organization

Contact information

Practice address
174 S SUNRISE WAY, PALM SPRINGS, CA 92262-6737
(760) 327-4881
(760) 322-1807
Mailing address
174 S SUNRISE WAY, PALM SPRINGS, CA 92262-6737
(760) 327-4881
(760) 322-1807

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5627382
NCPDP
CA
05
PHA487190
CA
Enumeration date
06/25/2007
Last updated
03/07/2023
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