Organization
MISSION WELLNESS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ANDRZEJEK (CEO)
(415) 577-4743
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
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518394857
—
CA
Enumeration date
04/14/2020
Last updated
04/14/2020
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