Organization
PHARMACIA INC
Active
Organization
PHARMACIA INC
Active
Other names
1800 sullivan pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL WILLIAM TONELLI PHARM D (OWNER/PIC)
(650) 756-1800
Entity
Organization
Contact information
Practice address
1800 SULLIVAN AVE, SUITE 102, DALY CITY, CA 94015-2228
(650) 756-1800
(650) 756-1313
Mailing address
1800 SULLIVAN AVE, SUITE 102, DALY CITY, CA 94015-2227
(650) 756-1800
(650) 756-1313
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY18784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0554178
NAPB
CA
05
—
PHA187840
—
CA
Enumeration date
07/10/2006
Last updated
08/22/2020
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