MEDICARE: AGMMM PHARMACY 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	PHY51151	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2138256	OTHER		PK

General Provider Information

NPI Number	:	1699779504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGMMM PHARMACY INC

Provider Business Mailing Address
First Line	:	5735 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-4712
Country	:	US
Telephone Number	:	562-423-8437
Fax Number	:	562-423-0137

Provider Business Practice Location Address
First Line	:	5735 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-4712
Country	:	US
Telephone Number	:	562-423-8437
Fax Number	:	562-423-0137

Authorized Official
Title or Position	:	OWNER
Name	:	ATTEF GIRGIS
Credential	:
Telephone Number	:	562-423-8437

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	09/19/2025

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Directions to “AGMMM PHARMACY INC ” Practice Location

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