Organization
LONG BEACH MEMORIAL MEDICAL
Active
Other names
OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FINCH (CHIEF COMPLIANCE OFFICER)
(714) 377-3218
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806
(562) 933-7948
(562) 933-8785
Mailing address
PO BOX 20359, LONG BEACH, CA 90801-3359
(562) 933-7948
(562) 933-0014
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51029
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2051699
PK
—
05
—
PHA223880
—
CA
Enumeration date
09/13/2006
Last updated
08/23/2018
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