Organization
ELLIS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUNG DO PHAM R.PHAR. (PHARMACIST-IN-CHARGE)
(415) 441-1016
Entity
Organization
Contact information
Practice address
468 ELLIS ST, SAN FRANCISCO, CA 94102-1928
(415) 441-1016
(415) 441-5088
Mailing address
468 ELLIS ST, SAN FRANCISCO, CA 94102-1928
(415) 441-1016
(415) 441-5088
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY31181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA311810
—
CA
Enumeration date
05/04/2007
Last updated
08/22/2020
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