Organization
SPECIALTY PHARMACIES INC
Active
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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