MEDICARE: HUNTER CO. , 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	3336C0003X	Community/Retail Pharmacy	PHY 48648	CA
2	333600000X	Pharmacy	PHY 48648	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0505896	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	05-05896	OTHER	CA	NCPDP

General Provider Information

NPI Number	:	1417092040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTER CO. , INC.

Provider Business Mailing Address
First Line	:	3400 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-1557
Country	:	US
Telephone Number	:	562-439-0502
Fax Number	:	562-434-2559

Provider Business Practice Location Address
First Line	:	3400 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-1557
Country	:	US
Telephone Number	:	562-439-0502
Fax Number	:	562-434-2559

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	MR. SETH HALL
Credential	:	PHARM D
Telephone Number	:	562-439-0502

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	02/20/2008

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Directions to “HUNTER CO. , INC. ” Practice Location

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