MEDICARE: FARMACIA REMEDIOS 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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	47086	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5617090	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679584189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIA REMEDIOS INC

Provider Business Mailing Address
First Line	:	2180 BRYANT ST STE 108
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2141
Country	:	US
Telephone Number	:	415-206-0800
Fax Number	:	866-708-9137

Provider Business Practice Location Address
First Line	:	2400 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2415
Country	:	US
Telephone Number	:	415-643-6605
Fax Number	:	415-643-6663

Authorized Official
Title or Position	:	CEO
Name	:	BEN SINGER
Credential	:
Telephone Number	:	415-643-6605

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	11/09/2010

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Directions to “FARMACIA REMEDIOS INC ” Practice Location

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