Healthcare Provider Details

I. General information

NPI: 1417092040
Provider Name (Legal Business Name): HUNTER CO. , INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 02/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 E 4TH ST
LONG BEACH CA
90814-1557
US

IV. Provider business mailing address

3400 E 4TH ST
LONG BEACH CA
90814-1557
US

V. Phone/Fax

Practice location:
  • Phone: 562-439-0502
  • Fax: 562-434-2559
Mailing address:
  • Phone: 562-439-0502
  • Fax: 562-434-2559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY 48648
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 48648
License Number StateCA

VIII. Authorized Official

Name: MR. SETH HALL
Title or Position: OWNER/PHARMACIST
Credential: PHARM D
Phone: 562-439-0502