Organization
PACIFIC PLAZA PHARMACY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAGI M. YOUSSEF (PRESIDENT)
(562) 426-6588
Entity
Organization
Contact information
Practice address
2777 PACIFIC AVE, SUITE-A, LONG BEACH, CA 90806-2625
(562) 426-6588
(652) 426-6580
Mailing address
2777 PACIFIC AVE, SUITE-A, LONG BEACH, CA 90806-2625
(562) 426-6588
(652) 426-6580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5523390001
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY44905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA449050
—
CA
Enumeration date
07/28/2006
Last updated
05/26/2011
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