Healthcare Provider Details

I. General information

NPI: 1457532590
Provider Name (Legal Business Name): SPECIALTY PHARMACIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 2ND ST
OAKLAND CA
94607-3839
US

IV. Provider business mailing address

45 MELVILLE PARK RD
MELVILLE NY
11747-3109
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-0774
  • Fax:
Mailing address:
  • Phone: 631-547-6531
  • Fax: 631-547-6532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: RUSSELL J. FICHERA
Title or Position: SENIOR VICE PRESIDENT AND TREASURER
Credential:
Phone: 508-297-1018