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Organization
PATIENT CENTRIC PHARMACY SERVICES
Active
Organization
PATIENT CENTRIC PHARMACY SERVICES
Active
Other names
San Mateo Neighborhood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN LEE (OWNER/PIC)
(415) 307-3965
Entity
Organization
Contact information
Practice address
9 37TH AVE, SAN MATEO, CA 94403-4404
(650) 827-5277
(650) 817-7227
Mailing address
9 37TH AVE, SAN MATEO, CA 94403-4404
(650) 827-5277
(650) 817-7227
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
51988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160784
PK
—
05
—
6638740
—
CA
Enumeration date
06/27/2016
Last updated
06/27/2016
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