Organization
SPECIALTY PHARMACIES INC
Active
Other names
MOMS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA TEMPESTA R.PH. (VP OF FINANCE)
(631) 547-6520
Entity
Organization
Contact information
Practice address
4071 18TH ST, SAN FRANCISCO, CA 94114-2535
(415) 255-2720
(415) 255-0937
Mailing address
4071 18TH ST, SAN FRANCISCO, CA 94114-2535
(415) 255-2720
(415) 255-0937
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY50165
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5617305
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA473350
—
CA
Enumeration date
05/05/2006
Last updated
08/31/2012
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