| NPI | 1962599159 |
|---|---|
| Doing Business As | LONG BEACH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LAUREL MALLEY Owner/Pharm 228-822-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 06270) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2013-03-07 |