Organization
MED-ECON PHARMACY INC
Active
Other names
ECONOMED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NORI YABUMOTO RPH (OWNER)
(650) 968-3535
Entity
Organization
Contact information
Practice address
105 SOUTH DR, STE 100, MOUNTAIN VIEW, CA 94040-4311
(650) 968-3535
(650) 968-4620
Mailing address
105 SOUTH DR, STE 100, MOUNTAIN VIEW, CA 94040-4311
(650) 968-3535
(650) 968-4620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY32473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566628
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA324730
—
CA
Enumeration date
08/31/2006
Last updated
05/12/2011
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