Organization
MEDICROSS PHARMACEUTICAL SVCS INC
Active
Other names
MILLS SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK TSOLAKIS PHARMD (OWNER AND PHARMACIST IN CHARGE)
(650) 347-5251
Entity
Organization
Contact information
Practice address
11 S SAN MATEO DR, SAN MATEO, CA 94401-3803
(650) 347-5251
(650) 348-0509
Mailing address
11 S SAN MATEO DR, SAN MATEO, CA 94401-3803
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY46847
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524339
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA468470
—
CA
Enumeration date
08/18/2006
Last updated
09/11/2025
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