Organization
SPECIALTY PHARMACIES, INC.
Active
Parent organization
ALLION HEALTHCARE, INC.
Other names
2nd Street Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLION HEALTHCARE, INC.
Authorized official
RUSSELL J. FICHERA (SENIOR VICE PRESIDENT AND TREASURER)
(508) 297-1018
Entity
Organization
Contact information
Practice address
465 2ND ST, OAKLAND, CA 94607-3839
(510) 835-0774
Mailing address
45 MELVILLE PARK RD, MELVILLE, NY 11747-3109
(631) 547-6531
(631) 547-6532
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628803
NCPDP
CA
05
—
PHA 50166
—
CA
01
—
PHY 50166
STATE LICENSE
CA
Enumeration date
11/16/2007
Last updated
03/07/2023
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