Organization
THOUSAND CRANES PHARMACY INC
Active
Other names
Thousand Cranes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN TOSHIRO MATSUNO PHARM.D. (PRESIDENT/ CEO)
(415) 409-4357
Entity
Organization
Contact information
Practice address
1832 BUCHANAN ST, #203, SAN FRANCISCO, CA 94115-3252
(415) 409-4357
(415) 409-4355
Mailing address
1832 BUCHANAN ST, #203, SAN FRANCISCO, CA 94115-3252
(415) 409-4357
(415) 409-4355
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0590566
NCPDP
CA
01
—
59193
PHARMACY LICENSE
CA
05
—
PHA463020
—
CA
Enumeration date
09/30/2006
Last updated
10/18/2024
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