Provider Demographics
NPI:1942591771
Name:ALCHEMY PHARMACIES, INC.
Entity Type:Organization
Organization Name:ALCHEMY PHARMACIES, INC.
Other - Org Name:ABRAMS AND CLARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SYKORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-427-7901
Mailing Address - Street 1:3841 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3505
Mailing Address - Country:US
Mailing Address - Phone:562-427-7901
Mailing Address - Fax:562-427-9638
Practice Address - Street 1:3841 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3505
Practice Address - Country:US
Practice Address - Phone:562-427-7901
Practice Address - Fax:562-427-9638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY45423333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA325590OtherPALMETTO GBA, JURISDICTION I, PART B