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PHNOM PICH PHARMACY INC NPI 1700998796


NPI Information

NPI: 1700998796
Provider Name: PHNOM PICH PHARMACY INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2338 E ANAHEIM ST STE 100
LONG BEACH, CA
ZIP 90804
Phone: (562) 438-3324
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PHNOM PICH PHARMACY INC is a pharmacy in Long Beach, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PHNOM PICH PHARMACY INC NPI is 1700998796. The provider is registered as an organization entity type.

The provider's business location address is:

2338 E ANAHEIM ST STE 100
LONG BEACH, CA
ZIP 90804-735
Phone: (562) 438-3324
Fax: (562) 987-1801

The provider's authorized official is Eam Heng Hong .
The authorized official title is President and has the following contact phone number (562) 438-3324.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/27/2007.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
3333600000XPharmacyPHY37082CALIFORNIAYes

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
10507953OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2PHA370820MEDICARE ID-TYPE UNSPECIFIED
3PHA370820MEDICAIDCALIFORNIA

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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