Organization
PHARMACA INTEGRATIVE PHARMACY, INC.
Active
Organization
PHARMACA INTEGRATIVE PHARMACY, INC.
Active
Other names
Pharmaca Integrative Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON FARRELL (SVP PHARMACY SERVICES)
(717) 254-9011
Entity
Organization
Contact information
Practice address
871 SANTA CRUZ AVE, MENLO PARK, CA 94025
(650) 618-6310
(650) 618-6311
Mailing address
7088 WINCHESTER CIR STE 100, BOULDER, CO 80301-3760
(303) 442-2304
(303) 867-4181
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5638931
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/21/2010
Last updated
01/12/2022
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