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PHNOM PICH PHARMACY INC NPI 1295805430


NPI Information

NPI: 1295805430
Provider Name: PHNOM PICH PHARMACY INC

Doing Business As: PHNOM PICH PHARMACY INC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2338 E ANAHEIM ST
SUITE 100
LONG BEACH, CA
ZIP 90804
Phone: (562) 438-3324
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PHNOM PICH PHARMACY INC is a community/retail pharmacy pharmacy in Long Beach, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PHNOM PICH PHARMACY INC NPI is 1295805430. The provider is registered as an organization entity type.
The provider Is Doing Business As Phnom Pich Pharmacy Inc.

The provider's business location address is:

2338 E ANAHEIM ST
SUITE 100
LONG BEACH, CA
ZIP 90804-730
Phone: (562) 438-3324
Fax: (562) 987-1801

The provider's authorized official is Puthik Sanui .
The authorized official title is Secretary and has the following contact phone number (562) 438-3324.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 7/19/2018.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY48907CALIFORNIAYes

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
11992188OTHERPK
2PHA47330MEDICAIDCALIFORNIA

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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