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Organization

MOLINO PHARMACY INC

Active
Other names
Molino Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW QUACH (CEO/PHARMACY MANAGER)
(562) 433-4900
Entity
Organization

Contact information

Practice address
2540 E ANAHEIM ST # B, LONG BEACH, CA 90804-3607
(562) 433-4900
(562) 433-7050
Mailing address
2875 HUNTINGTON DR, SAN MARINO, CA 91108-2220
(562) 433-4900
(562) 433-7050

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
PHY54954
CA
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2166186
PK
Enumeration date
11/14/2016
Last updated
01/17/2017
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