Healthcare Provider Details

I. General information

NPI: 1558580985
Provider Name (Legal Business Name): WEST MARIN PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 03/07/2023
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 4TH ST
POINT REYES STATION CA
94956
US

IV. Provider business mailing address

PO BOX 1510
POINT REYES STATION CA
94956-1510
US

V. Phone/Fax

Practice location:
  • Phone: 415-663-1121
  • Fax: 415-663-1219
Mailing address:
  • Phone: 415-663-1121
  • Fax: 415-663-1219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY48531
License Number StateCA

VIII. Authorized Official

Name: MS. ZSUZSANNA BIRAN
Title or Position: PHARMACIST AND OWNER
Credential: RPH
Phone: 415-663-1121