Organization
SIRUM CHARITABLE PHARMACY
Active
Other names
SIRUM Charitable Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE WANG (CO-FOUNDER & DIRECTOR)
(650) 488-7434
Entity
Organization
Contact information
Practice address
334 SE 5TH AVE STE B, HILLSBORO, OR 97123-4107
(503) 648-0782
(844) 238-3420
Mailing address
150 ALMA ST APT 116, MENLO PARK, CA 94025-3748
(650) 488-7434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CP-0000014
OR
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159403
PK
—
Enumeration date
04/19/2016
Last updated
04/19/2016
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