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NPI 1114786241

OrganizationActive

Anaheim Pharmacy, LLC

NPI 1114786241 · Long Term Care Pharmacy · Anaheim, CA

Provider details

NPI number: 1114786241
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Authorized official: Jay Kim, Managing Member

Practice location

1211 W La Palma Ave Ste 102

Anaheim, CA 92801-2809

Phone: (714) 442-1141

Fax: (714) 442-1142

More CA providers

Mailing address

1211 W La Palma Ave Ste 102

Anaheim, CA 92801-2809

Registry dates

Enumerated: 2024-03-19
Last updated: 2025-09-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Anaheim Pharmacy, LLC — NPI 1114786241, Anaheim, CA | NPI Central