NPI 1295749760

Beacon Drug Co. #6

Organisation Community/Retail Pharmacy Wilmington, CA

Practice location

Address: 1303 N Avalon Blvd, Wilmington, CA 90744-2603
Phone: (310) 834-3457
Fax: (310) 834-1170

Authorised official

Name: Eric Song
Title: Pharamicist in Charge
Phone: (310) 834-3457

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence PHY354220 (CA)

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Registry record

NPI: 1295749760
Entity type: Organization
NPI issued: 28 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.