Organization
KOSHLAND PHARMACY INC
Active
Other names
Koshland Pharm: Custom Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KOSHLAND (PRESIDENT / CEO)
(510) 318-2852
Entity
Organization
Contact information
Practice address
301 FOLSOM ST STE B, SAN FRANCISCO, CA 94105-2309
(415) 344-0600
(415) 344-0607
Mailing address
301 FOLSOM ST, SUITE B, SAN FRANCISCO, CA 94105-2308
(415) 344-0600
(415) 344-0607
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY50041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122390
PK
—
Enumeration date
10/16/2009
Last updated
08/04/2016
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