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Organization
MISSION WELLNESS PHARMACY
Active
Organization
MISSION WELLNESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA LOPEZ ANDRZEJEK PHARMD (OWNER)
(415) 826-3484
Entity
Organization
Contact information
Practice address
2424 MISSION ST, SAN FRANCISCO, CA 94110-2415
(415) 826-3484
Mailing address
2424 MISSION ST, SAN FRANCISCO, CA 94110-2415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA 51572
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA 51572
CA STATE LICENSE NUMBER
CA
Enumeration date
12/17/2013
Last updated
12/17/2013
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