| NPI | 1760366132 |
|---|---|
| Doing Business As | STANFORD HEALTH CARE SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HARI CHANDANA MULAMALLA Executive Director, Pharmacy Servic 312-215-0088 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-10-14 |