Organization
LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD
Active
Other names
LPCH Outpatient & Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY WONG (PHARMACY MANAGER)
(650) 497-8289
Entity
Organization
Contact information
Practice address
4600 BOHANNON DR # 120, MENLO PARK, CA 94025-1034
(650) 497-8289
(650) 497-8974
Mailing address
4600 BOHANNON DR # 120, MENLO PARK, CA 94025-1034
(650) 497-8289
(650) 497-8974
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY52051
LICENSE
CA
01
—
PHY61357
LICENSE
CA
Enumeration date
10/24/2025
Last updated
04/02/2026
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