Organization
APOTHECARY PHARMACY INC
Active
Other names
APOTHECARY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LAI (CHIEF EXECUTIVE OFFICER)
(650) 994-0690
Entity
Organization
Contact information
Practice address
1500 SOUTHGATE AVE, SUITE 109, DALY CITY, CA 94015-2259
(650) 994-0690
(650) 994-1538
Mailing address
1500 SOUTHGATE AVE, SUITE 109, DALY CITY, CA 94015-2259
(650) 994-0690
(650) 994-1538
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0586012
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA467670
—
CA
Enumeration date
10/07/2006
Last updated
03/05/2010
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