Organization
BBN PHARMACY INC
Active
Other names
SPRING PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUNELYN BAUTISTA (PRESIDENT)
(562) 420-1303
Entity
Organization
Contact information
Practice address
6226 E SPRING ST STE 140, LONG BEACH, CA 90815-1441
(562) 420-1303
(562) 429-9271
Mailing address
6226 E SPRING ST STE 140, LONG BEACH, CA 90815-1441
(310) 420-1303
(310) 429-9271
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY36892
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0505670
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA368920
—
CA
Enumeration date
07/30/2006
Last updated
11/12/2024
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