Organization
NORTH EAST MEDICAL SERVICES
Active
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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