Peninsula Professional Center Pharmacy in Burlingame - Pharmacy
Peninsula Professional Center Pharmacy - NPI 1891770038
Peninsula Professional Center Pharmacy is a Pharmacy in Burlingame, California. Peninsula Professional Center Pharmacy practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Peninsula Professional Center Pharmacy is 1891770038. The last update date is 2020-08-22.
Peninsula Professional Center Pharmacy's current location address is 1828 El Camino Real, Burlingame, California. You can contact this provider via phone number 6506923977 and fax number 6506923978. The mailing address for Peninsula Professional Center Pharmacy is 1828 El Camino Real, Burlingame, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peninsula Professional Center Pharmacy |
|---|---|
| Address | 1828 El Camino Real, Burlingame, California |
| Phone Number | 6506923977 |
| Fax Number | 6506923978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Poole A George |
| Credentials | PHARM D |
| Telephone Number | 6506923977 |
NPI Number Detail
| NPI Number | 1891770038 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1828 El Camino Real |
|---|---|
| City | Burlingame |
| State | California (CA) |
| Post Code | 940103103 |
| Phone Number | 6506923977 |
| Fax Number | 6506923978 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | PHY17946 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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What is the unique identifier code issued to Peninsula Professional Center Pharmacy by the Centers for Medicare & Medicaid Services?
The Peninsula Professional Center Pharmacy has been assigned the NPI (National Provider Identifier) 1891770038. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peninsula Professional Center Pharmacy located?
The Peninsula Professional Center Pharmacy is located at 1828 El Camino Real, Burlingame, CA 940103103.
What is the Peninsula Professional Center Pharmacy's specialty and taxonomy code?
The Peninsula Professional Center Pharmacy's specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1891770038 to Peninsula Professional Center Pharmacy?
The Peninsula Professional Center Pharmacy received its 1891770038 assignment from the Centers for Medicare & Medicaid Services on 2005-12-09.
When was the Peninsula Professional Center Pharmacy's information last updated?
The Peninsula Professional Center Pharmacy's information was last updated on 2020-08-22.
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