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Organization
THOUSAND CRANES PHARMACY INC
Active
Organization
THOUSAND CRANES PHARMACY INC
Active
Other names
Thousand Cranes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN TOSHIRO MATSUNO PHARM.D. (PRESIDENT/ CEO)
(415) 409-4357
Entity
Organization
Contact information
Practice address
1832 BUCHANAN ST, #203, SAN FRANCISCO, CA 94115-3252
(415) 409-4357
(415) 409-4355
Mailing address
1832 BUCHANAN ST, #203, SAN FRANCISCO, CA 94115-3252
(415) 409-4357
(415) 409-4355
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0590566
NCPDP
CA
01
—
59193
PHARMACY LICENSE
CA
05
—
PHA463020
—
CA
Enumeration date
09/30/2006
Last updated
10/18/2024
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