Organization
MEDICAL CENTER PHARMACIES INC
Active
Other names
JEFFERSON PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PINGHON CHAN PHARMD (PHARMACIST/MGR)
(650) 366-3784
Entity
Organization
Contact information
Practice address
3137 JEFFERSON AVE, REDWOOD CITY, CA 94062-2959
(650) 366-3784
(650) 366-1848
Mailing address
3137 JEFFERSON AVE, REDWOOD CITY, CA 94062-2959
(650) 366-3784
(650) 366-1848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY11062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076783
PK
—
05
—
PHA110620
—
CA
Enumeration date
02/28/2007
Last updated
10/06/2014
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