Organization
SUTTER BAY HOSPITALS
Active
Parent organization
SUTTER BAY HOSPITALS
Other names
Alta Bates Summit Outpatient Pharmacy, Sutter Health Specialty Pharmacy @ ABSMC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER BAY HOSPITALS
Authorized official
MICHAEL FEDERICO PHARMD (DIRECTOR OF PHARMACY)
(510) 869-8452
Entity
Organization
Contact information
Practice address
2001 DWIGHT WAY STE 2182, BERKELEY, CA 94704-2608
(510) 204-6550
(510) 204-5895
Mailing address
2001 DWIGHT WAY STE 2182, BERKELEY, CA 94704-2608
(510) 204-6550
(510) 204-5895
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY52043
CA
3336S0011X
Specialty Pharmacy
PHY52043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY52043
BOARD OF PHARMACY
CA
01
—
PHY56025
CA BOARD OF PHARMACY
CA
Enumeration date
12/15/2017
Last updated
12/21/2022
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