Phnom Pich Pharmacy Inc
LBN: Phnom Pich Pharmacy Inc
Phnom Pich Pharmacy Inc is an health care organization with primary practice located at 2338 E Anaheim St Ste 100 , Long Beach CA 90804-5735. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Phnom Pich Pharmacy Inc can be contacted via phone (562) 438-3324, or through Heng Hong, Eam via phone (562) 438-3324.
Contact Information
Primary practice address
2338 E Anaheim St Ste 100
Long Beach CA 90804-5735
Phone: (562) 438-3324
Fax: (562) 987-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHY37082 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1700998796 |
|---|---|
| LBN Legal business name | Phnom Pich Pharmacy Inc |
| DBA Doing business as | |
| Authorized official | Heng Hong, Eam |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 27th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700998796 | NPPES |
| Other | 0507953 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | PHA370820 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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