Organization
SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Active
Parent organization
SUTTER VISITING NURSE ASSOICATION AND HOSPICE
Other names
Sutter Infusion & Pharmacy Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER VISITING NURSE ASSOICATION AND HOSPICE
Authorized official
MR. MARK K MCPHERSON (CEO)
(707) 864-4660
Entity
Organization
Contact information
Practice address
1105 ATLANTIC AVE, STE 102, ALAMEDA, CA 94501-1184
(510) 450-8900
(510) 652-8278
Mailing address
4830 BUSINESS CENTER DR, STE 140, FAIRFIELD, CA 94534-1797
(855) 771-0328
(707) 863-9043
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
LSC 99512
CA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY 47212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071252
SUTTER INFUSION PHARMACY
CA
05
—
PHA472120
—
CA
01
—
ZZZ 098992
SUTTER INFUSION PHARMACY
CA
01
—
ZZZ02700Z
SUTTER INFUSION PHARMACY
CA
Enumeration date
11/08/2006
Last updated
02/08/2024
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