Organization
SISKIN'S SAN CARLOS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SISKIN (PRESIDENT)
(650) 591-9636
Entity
Organization
Contact information
Practice address
825 LAUREL ST, SAN CARLOS, CA 94070-3914
(650) 591-9636
Mailing address
825 LAUREL ST, SAN CARLOS, CA 94070-3914
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY32600
CA
3336C0003X
Community/Retail Pharmacy
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0585933
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
08/24/2007
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