Organization
PARNASSUS HEIGHTS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUDUM (MANAGER/OWNER)
(415) 564-9191
Entity
Organization
Contact information
Practice address
350 PARNASSUS AVE STE 100, SAN FRANCISCO, CA 94117-3608
(415) 564-9191
(415) 566-9751
Mailing address
350 PARNASSUS AVE STE 100, SAN FRANCISCO, CA 94117-3608
(415) 564-9191
(415) 566-9751
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA466410
—
CA
Enumeration date
07/20/2006
Last updated
08/22/2020
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