Organization
MEDICAL ARTS PHARMACY LLC
Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRATAP KRISHNA ANNE (PHARMACY DIRECCTOR)
(209) 298-1715
Entity
Organization
Contact information
Practice address
13847 E 14TH ST, SUITE 103, SAN LEANDRO, CA 94578-2632
(510) 357-1881
(510) 357-1895
Mailing address
13847 E 14TH ST, SUITE 103, SAN LEANDRO, CA 94578-2632
(510) 357-1881
(510) 357-1895
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346383056
—
CA
01
—
59184
PHARMACY LICENSE
CA
Enumeration date
02/14/2007
Last updated
10/11/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us