Organization
SPECIALTY PHARMACIES, INC.
Active
Other names
Castro Street Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL J. FICHERA (SENIOR VICE PRESIDENT AND TREASURER)
(508) 297-1018
Entity
Organization
Contact information
Practice address
191 GOLDEN GATE AVE, SAN FRANCISCO, CA 94102-3809
(415) 255-0516
(415) 255-0937
Mailing address
191 GOLDEN GATE AVE, SAN FRANCISCO, CA 94102-3809
(415) 255-0516
(415) 255-0937
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 50167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0585464
NCPDP PROVIDER ID
—
05
—
PHA 50167
—
CA
01
—
PHY 50167
STATE LICENSE
CA
Enumeration date
05/05/2006
Last updated
03/07/2023
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