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Organization

NORTH EAST MEDICAL SERVICES

Active
Other names
North East Medical Services Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDDIE CHAN PHARM.D. (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization

Contact information

Practice address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(415) 391-9704
Mailing address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(415) 433-4726

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 40315
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0592522
NCPDP PREVIOUSLY NABP
05
1992747109
CA
01
PHY 40315
STATE LIC: BD OF PHARMACY
CA
Enumeration date
06/12/2006
Last updated
10/01/2012
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