Organization
NORTH EAST MEDICAL SERVICES
Active
Parent organization
NORTH EAST MEDICAL SERVICES
Other names
NEMS-San Bruno Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH EAST MEDICAL SERVICES
Authorized official
DR. EDDIE CHAN PHARM.D. (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
2574 SAN BRUNO AVE, SAN FRANCISCO, CA 94134-1505
(415) 352-5091
(415) 352-5092
Mailing address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(415) 433-4726
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013241199
—
CA
Enumeration date
09/23/2009
Last updated
10/01/2012
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