MEDICARE: DREW CENTER PHARMACY

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	183500000X	Pharmacist

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
2	PHA223020	OTHER	CA	MEDI-CAL ID #
3	PHY57523	OTHER	CA	CAL PHARMACY LICENSE
4	0531524	OTHER	CA	NABP#

General Provider Information

NPI Number	:	1184613051
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREW CENTER PHARMACY

Provider Business Mailing Address
First Line	:	P.O. BOX 51216
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303
Country	:	US
Telephone Number	:	650-321-1449
Fax Number	:	650-321-5977

Provider Business Practice Location Address
First Line	:	2242 UNIVERSITY AVE
Second Line	:
City	:	EAST PALO ALTO
State	:	CA
Zip	:	94303
Country	:	US
Telephone Number	:	650-321-1449
Fax Number	:	650-321-5977

Authorized Official
Title or Position	:	OWNER/ PHARMACIST IN C HARGE
Name	:	DR. ARTHUR HERBERT LIM
Credential	:	PHARM D.
Telephone Number	:	650-321-1449

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	03/07/2023

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Directions to “DREW CENTER PHARMACY ” Practice Location

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