Healthcare Provider Details

I. General information

NPI: 1669661237
Provider Name (Legal Business Name): SPECIALTY PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 2ND STREET
OAKLAND CA
94607
US

IV. Provider business mailing address

1660 WALT WHITMAN RD SUITE 105
MELVILLE NY
11747-4159
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-0774
  • Fax: 510-628-0415
Mailing address:
  • Phone: 631-547-6520
  • Fax: 631-249-5863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MICHAEL P MORAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 631-547-6520