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Organization
SIWOOD INC
Active
Organization
SIWOOD INC
Active
Other names
broadway pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY K WOO PHARM.D. (GENERAL MANAGER)
(650) 343-3651
Entity
Organization
Contact information
Practice address
1300 BROADWAY, BURLINGAME, CA 94010-3426
(650) 343-3651
(650) 343-2733
Mailing address
1300 BROADWAY, BURLINGAME, CA 94010-3426
(650) 343-3651
(650) 343-2733
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY34559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0591493
NCPDP
—
05
—
PHA345590
—
CA
Enumeration date
11/09/2006
Last updated
08/22/2020
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