Organization
REPUBLIC PHARMACY CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WONG JR. (PRESIDENT)
(415) 982-8641
Entity
Organization
Contact information
Practice address
704 GRANT AVE, SAN FRANCISCO, CA 94108-2114
(415) 982-8641
Mailing address
704 GRANT AVE, SAN FRANCISCO, CA 94108-2114
(415) 982-8641
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH00A6940
—
CA
Enumeration date
11/11/2005
Last updated
08/22/2020
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