Organization
MISSION WELLNESS HEALTHCARE LLC
Active
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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