MEDICARE: TORGSYN DISCOUNT PHARMACY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	332B00000X	CA
2	3336C0003X	Community/Retail Pharmacy	3336C0003X	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053321703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TORGSYN DISCOUNT PHARMACY, INC

Provider Business Mailing Address
First Line	:	5614 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2215
Country	:	US
Telephone Number	:	415-752-3737
Fax Number	:	415-752-3730

Provider Business Practice Location Address
First Line	:	5614 GEARY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94121-2215
Country	:	US
Telephone Number	:	415-752-3737
Fax Number	:	415-752-3730

Authorized Official
Title or Position	:	PRES, CEO
Name	:	MRS. NARINE VARTANIAN
Credential	:
Telephone Number	:	415-752-3737

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	02/01/2013

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