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NPI Code Detail

MEDICARE: MR. PETE CANGIALOSI RPH

MEDICARE: MR. PETE CANGIALOSI RPH
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
1183500000XPharmacist41019CA

General Provider Information

NPI Number : 1942585039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETE CANGIALOSI RPH
Provider Business Mailing Address
First Line : 4550 ATLANTIC AVE
Second Line : B
City : LONG BEACH
State : CA
Zip : 90807-1513
Country : US
Telephone Number : 800-834-8778
Fax Number : 888-834-4333
Provider Business Practice Location Address
First Line : 4550 ATLANTIC AVE
Second Line : B
City : LONG BEACH
State : CA
Zip : 90807-1513
Country : US
Telephone Number : 800-834-8778
Fax Number : 888-834-4333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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Directions to “ MR. PETE CANGIALOSI RPH” Practice Location

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