Organization
AMG PHARMACY INC
Active
Other names
RED SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LYUDMILA LYUSTIN (PRESIDENT)
(415) 665-9810
Entity
Organization
Contact information
Practice address
442 CLEMENT ST, SAN FRANCISCO, CA 94118-2318
(415) 387-5537
(415) 387-5489
Mailing address
442 CLEMENT ST, SAN FRANCISCO, CA 94118-2318
(415) 387-5537
(415) 387-5489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY47375
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY47375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0546020
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA470820
—
CA
Enumeration date
07/22/2006
Last updated
09/11/2025
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