Organization
PACIFIC PHARMACY SERVICE INC
Active
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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