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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