Organization
MONTEAGLE MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT DAVIES (SR. VP OF OPERATION)
(415) 600-3790
Entity
Organization
Contact information
Practice address
1580 VALENCIA ST., SAN FRANCISCO, CA 94110
(415) 641-6550
(415) 641-6713
Mailing address
1580 VALENCIA ST., SAN FRANCISCO, CA 94110
(415) 641-6550
(415) 641-6713
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
186360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA186360
—
CA
Enumeration date
04/30/2007
Last updated
01/20/2022
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