Organization
GOLDEN GATE PHARMACY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MARIE CLAUSEN PHARMD (PHARMACY DIRECTOR)
(415) 455-9042
Entity
Organization
Contact information
Practice address
8 DIGITAL DR STE 200, NOVATO, CA 94949-8705
(415) 455-9042
(415) 455-9318
Mailing address
8 DIGITAL DR STE 200, NOVATO, CA 94949-8705
(415) 455-9042
(415) 455-9318
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA407420
—
CA
Enumeration date
11/26/2021
Last updated
11/26/2021
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