Organization
LONG BEACH MEMORIAL MEDICAL
Active
Organization
LONG BEACH MEMORIAL MEDICAL
Active
Other names
Homecare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS FINCH (CHIEF COMPLIANCE OFFICER)
(714) 377-3218
Entity
Organization
Contact information
Practice address
450 E SPRING ST, STE 11, LONG BEACH, CA 90806
(562) 933-2273
(562) 933-2907
Mailing address
450 E SPRING ST, STE 11, LONG BEACH, CA 90806-1625
(562) 933-2273
(562) 933-2907
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY37891
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998182
PK
—
05
—
PHA378910
—
CA
Enumeration date
08/10/2006
Last updated
08/23/2018
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