Organization
THOUSAND CRANES PHARMACY INC
Active
Organization
THOUSAND CRANES PHARMACY INC
Active
Parent organization
THOUSAND CRANES PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOUSAND CRANES PHARMACY INC
Authorized official
ROBERT K MASUDA PHARM.D. (PRESIDENT/OWNER)
(415) 409-4357
Entity
Organization
Contact information
Practice address
1832 BUCHANAN ST STE 203, SAN FRANCISCO, CA 94115-3252
(415) 409-4357
Mailing address
1832 BUCHANAN ST STE 203, SAN FRANCISCO, CA 94115-3252
(415) 409-4357
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA463020
—
CA
Enumeration date
06/19/2017
Last updated
07/21/2022
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