Organization
STANFORD HEALTH CARE
Active
Parent organization
STANFORD HEALTH CARE
Other names
Stanford Health Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
STANFORD HEALTH CARE
Authorized official
HARI CHANDANA MULAMALLA PHARMD (EXECUTIVE DIRECTOR,PHARMACY SERVICE)
(312) 215-0088
Entity
Organization
Contact information
Practice address
875 BLAKE WILBUR DR STE CC1102, PALO ALTO, CA 94304-2205
(650) 736-3800
(650) 736-7991
Mailing address
875 BLAKE WILBUR DR STE CC1102, PALO ALTO, CA 94304-2205
(650) 736-3800
(650) 736-7991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
55482
CA
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170491
PK
—
05
—
PENDING
—
CA
Enumeration date
07/26/2017
Last updated
10/14/2025
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