Organization
LONG BEACH MEMORIAL MEDICAL
Active
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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