Organization
TABULA RASA HEALTHCARE GROUP, INC.
Active
Other names
CareKinesis
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GREENHALGH BS (CHIEF OPERATIONG OFFICER)
(856) 840-4867
Entity
Organization
Contact information
Practice address
401 S CANAL ST, SOUTH SAN FRANCISCO, CA 94080-4606
(415) 387-3231
(650) 742-9429
Mailing address
401 S CANAL ST, SOUTH SAN FRANCISCO, CA 94080-4606
(415) 387-3231
(650) 742-9429
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY55500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609887231
—
CA
01
—
2094532
PK
—
05
—
PHA451080
—
CA
Enumeration date
08/10/2006
Last updated
02/23/2021
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