Organization
CBHS PHARMACY SERVICES
Active
Other names
CITY AND COUNTY OF SAN FRANCISCO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA WILDER PHARMD (DIRECTOR OF PHARMACY)
(415) 255-3703
Entity
Organization
Contact information
Practice address
1380 HOWARD ST, RM 130, SAN FRANCISCO, CA 94103-2638
(415) 255-3659
(415) 252-3036
Mailing address
1380 HOWARD ST, RM 130, SAN FRANCISCO, CA 94103-2638
(415) 255-3659
(415) 252-3036
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
38-07F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0503789
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA371410
—
CA
Enumeration date
05/02/2011
Last updated
01/04/2016
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