Organization
LC MISSION LLC
Active
Organization
LC MISSION LLC
Active
Other names
Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VERA ABRAMOVA (CFO)
(516) 422-8477
Entity
Organization
Contact information
Practice address
2462 MISSION ST, SAN FRANCISCO, CA 94110-2415
(415) 648-0815
(415) 285-1237
Mailing address
2462 MISSION ST, SAN FRANCISCO, CA 94110-2415
(415) 648-0815
(415) 285-1237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225187693
—
CA
01
—
2170290
PK
—
Enumeration date
01/08/2007
Last updated
05/08/2018
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