Beach Professional Pharmacy

LBN: Lee S Kim
Beach Professional Pharmacy is an health care organization with primary practice located at 17742 Beach Blvd Suite 100, Huntington Beach CA 92647-6818. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lee S Kim can be contacted via phone (714) 848-4447, or through Kim, Lee Sung via phone (714) 848-4447.

Contact Information

Primary practice address
17742 Beach Blvd Suite 100 Huntington Beach CA 92647-6818
Phone: (714) 848-4447
Fax: (718) 843-9149
Website:
Map and Directions
Authorized official contact:
Name: Kim, Lee Sung PHARMACIST
Phone: (714) 848-4447

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY37348 California

Profile Details

NPI number 1780769554
LBN Legal business name Lee S Kim
DBA Doing business as Beach Professional Pharmacy
Authorized official Kim, Lee Sung PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780769554 NPPES
California MEDICAID PHA373480
California Other 0529478

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