Organization
PATIENT CENTRIC PHARMACY SERVICES
Active
Other names
San Mateo Neighborhood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN LEE PHARM D (MEMBER/PRESIDENT)
(650) 827-5277
Entity
Organization
Contact information
Practice address
9 37TH AVE, SAN MATEO, CA 94403-4404
(650) 827-5277
(650) 817-7227
Mailing address
9 37TH AVE, SAN MATEO, CA 94403-4404
(650) 827-5277
(650) 817-7227
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
51988
CA
3336C0003X
Community/Retail Pharmacy
Primary
51988
CA
3336L0003X
Long Term Care Pharmacy
51988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6638740
—
CA
Enumeration date
08/31/2014
Last updated
10/28/2016
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