Organization
CENTRAL DRUG STORE
Active
Other names
Central Drug Co Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERROLD STEVEN TONELLI RPH (PHARMACIST/OWNER)
(415) 585-0111
Entity
Organization
Contact information
Practice address
4494 MISSION ST, SAN FRANCISCO, CA 94112-1950
(415) 585-0111
(415) 585-9006
Mailing address
4494 MISSION ST, SAN FRANCISCO, CA 94112-1950
(415) 585-0111
(415) 585-9006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
38147
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH0A18520
—
CA
Enumeration date
08/31/2006
Last updated
03/19/2022
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