Organization
MENLO SQUARE PHARMACY
Active
Other names
MENLO PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER YEE (OWNER)
(650) 322-1888
Entity
Organization
Contact information
Practice address
1610 EL CAMINO REAL, STE A, MENLO PARK, CA 94025-4112
(650) 322-1888
(650) 322-1880
Mailing address
1610 EL CAMINO REAL, STE A, MENLO PARK, CA 94025-4112
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY39968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0525583
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA399680
—
CA
Enumeration date
08/20/2006
Last updated
02/08/2008
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