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LONG BEACH MEMORIAL MEDICAL NPI 1215398755


NPI Information

NPI: 1215398755
Provider Name: LONG BEACH MEMORIAL MEDICAL

Doing Business As: TODD CANCER PAVILION PHARMACY

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
2810 LONG BEACH BLVD
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-1844
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LONG BEACH MEMORIAL MEDICAL is a specialty pharmacy pharmacy in Long Beach, CA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. LONG BEACH MEMORIAL MEDICAL NPI is 1215398755. The provider is registered as an organization entity type.
The provider Is Doing Business As Todd Cancer Pavilion Pharmacy.

The provider's business location address is:

2810 LONG BEACH BLVD
LONG BEACH, CA
ZIP 90806-558
Phone: (562) 933-1844
Fax: (562) 933-1869

The provider's authorized official is Chris Finch .
The authorized official title is Chief Compliance Officer and has the following contact phone number (714) 377-3218.

The enumeration date for this NPI number is 3/11/2016 and was last updated on 8/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyNo
23336I0012XPharmacyInstitutional PharmacyNo
3333600000XPharmacyNo
43336S0011XPharmacySpecialty Pharmacy53582CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12158354OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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