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Organization
FOUR-FIFTY SUTTER PHARMACY
Active
Organization
FOUR-FIFTY SUTTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE CHAN B.S., R.D., M.S. (OWNER)
(415) 392-4137
Entity
Organization
Contact information
Practice address
450 SUTTER ST, 7TH FLOOR, SAN FRANCISCO, CA 94108-4206
(415) 392-4137
(415) 951-4912
Mailing address
450 SUTTER ST, 7TH FLOOR, SAN FRANCISCO, CA 94108-4206
(415) 392-4137
(415) 951-4912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY45225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHD140970
—
CA
Enumeration date
12/06/2006
Last updated
04/04/2014
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