# PATIENT CENTRIC PHARMACY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Mateo Neighborhood Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184075566
- **Authorized official:** ALVIN LEE (OWNER/PIC)
- **Authorized official phone:** (415) 307-3965

## Contact information

- **Practice address:** 9 37TH AVE, SAN MATEO, CA 94403-4404
- **Practice address phone:** (650) 827-5277
- **Practice address fax:** (650) 817-7227
- **Mailing address:** 9 37TH AVE, SAN MATEO, CA 94403-4404
- **Mailing address phone:** (650) 827-5277
- **Mailing address fax:** (650) 817-7227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 51988 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 06/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160784 | PK | — |
| 05 | — | 6638740 | — | CA |