MEDICARE: ALCHEMY PHARMACIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1255367900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALCHEMY PHARMACIES INC

Provider Business Mailing Address
First Line	:	3841 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3505
Country	:	US
Telephone Number	:	562-427-7901
Fax Number	:	562-427-9638

Provider Business Practice Location Address
First Line	:	3841 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3505
Country	:	US
Telephone Number	:	562-427-7901
Fax Number	:	562-427-9638

Authorized Official
Title or Position	:	CORPORATE PRESIDENT
Name	:	MR. JOHN LYON SYKORA
Credential	:	RPM
Telephone Number	:	562-427-7901

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	09/04/2008

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Directions to “ALCHEMY PHARMACIES INC ” Practice Location

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