Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Pan

Individual provider Pharmacy · NPI 1053182824

Jacqueline Pan is a Pharmacy in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1031 Ximeno Ave
Long Beach, CA 90804-4304
Phone: (561) 760-5204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 79584 (CA)

Record details

NPI number1053182824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address1031 Ximeno Ave, Long Beach, CA 90804-4304

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