| NPI | 1255374054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FOUTS Pharmacy Director 415-682-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA HPE4323) |
| Additional Taxonomies | 3336I0012X Pharmacy Institutional Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-03-31 |