Organization
MISSION WELLNESS HEALTHCARE LLC
Active
Other names
Mission Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANDRZEJEK (DIRECTOR)
(415) 826-3484
Entity
Organization
Contact information
Practice address
2424 MISSION ST, SAN FRANCISCO, CA 94110-2415
(415) 826-3484
(415) 826-7077
Mailing address
PO BOX 7775 #52191, SAN FRANCISCO, CA 94120
(415) 826-3484
(415) 738-7947
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54390
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142357
PK
—
05
—
PHA471220
—
CA
Enumeration date
10/01/2013
Last updated
04/20/2016
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