Organization
LOS ALTOS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART NELSON (OWNER/PHARMACIST)
(650) 948-1212
Entity
Organization
Contact information
Practice address
255 2ND ST, LOS ALTOS, CA 94022-3627
(650) 948-1212
(650) 949-2269
Mailing address
255 2ND ST, LOS ALTOS, CA 94022-3627
(650) 948-1212
(650) 949-2269
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
42953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0535053
NCPDP #
CA
Enumeration date
09/13/2006
Last updated
08/22/2020
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