Healthcare Provider Details

I. General information

NPI: 1396119830
Provider Name (Legal Business Name): HL PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 E ANAHEIM ST
LONG BEACH CA
90813-3507
US

IV. Provider business mailing address

705 E ANAHEIM ST
LONG BEACH CA
90813-3507
US

V. Phone/Fax

Practice location:
  • Phone: 562-599-3000
  • Fax: 562-599-3001
Mailing address:
  • Phone: 562-599-3000
  • Fax: 562-599-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY55917
License Number StateCA

VIII. Authorized Official

Name: HALI NGOCHIEU HUYNH
Title or Position: PIC
Credential:
Phone: 714-327-1884