Organization
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Active
Other names
a. LPCH Children's Home Pharmacy b. Stanford Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARISA NG PHARM.D. (ASST. DIRECTOR OF PHARMACY)
(650) 497-8391
Entity
Organization
Contact information
Practice address
4600 BOHANNON DR, SUITE 105, MENLO PARK, CA 94025-1034
(650) 497-8316
(650) 497-8320
Mailing address
4600 BOHANNON DR, SUITE 105, MENLO PARK, CA 94025-1034
(650) 497-8316
(650) 497-8320
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003751
BLUE CROSS PROVIDER#
—
01
—
0549381
NABP
—
01
—
FP0549381
BLUE SHIELD PHARM
—
05
—
PHA 407800
—
CA
01
—
ZZZ41694Z
BLUE SHIELD HOME INFUSION
—
Enumeration date
08/04/2006
Last updated
08/05/2019
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